Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $75.48 / $99.95	Facility		$37.51	$75.48	$99.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $19.55 / $64.31	Professional		$17.21	$19.55	$64.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $20.86 / $28.90	Professional		$17.86	$20.86	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $17.14 / $33.74	Facility		$12.94	$17.14	$33.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $20.55 / $37.69	Professional		$12.94	$20.55	$37.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $32.59 / $39.11	Professional		$26.07	$32.59	$39.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.38 / $19.80	Professional		$11.36	$12.38	$19.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $13.04 / $20.73	Professional		$10.17	$13.04	$20.73