Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $32.36	Professional		$15.85	$20.89	$32.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $21.38 / $24.55	Professional		$6.92	$21.38	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $34.67	Facility		$11.48	$17.78	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $60.26	Professional		$11.75	$13.18	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $40.74	Professional		$26.92	$29.51	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.59 / $60.26	Facility		$11.22	$12.59	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $23.99	Professional		$10.00	$12.59	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.38 / $40.74	Professional		$10.47	$21.38	$40.74