Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $89.13 / $630.96	Facility		$12.30	$89.13	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.11	Professional		$11.75	$14.79	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $13.49 / $15.49	Professional		$5.89	$13.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.48 / $21.38	Facility		$8.91	$11.48	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $57.54	Professional		$8.91	$12.88	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $32.36	Professional		$16.60	$18.20	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.94 / $47.86	Facility		$4.37	$7.94	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $15.14	Professional		$7.59	$10.00	$15.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $16.22 / $25.12	Professional		$6.46	$16.22	$25.12