Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $20.17 / $26.89	Professional		$17.75	$20.17	$26.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $21.51 / $29.24	Professional		$19.35	$21.51	$29.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $17.67 / $34.79	Facility		$11.49	$17.67	$34.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $18.26 / $38.72	Professional		$11.86	$18.26	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $33.61 / $40.34	Professional		$26.89	$33.61	$40.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.45 / $24.02	Professional		$10.23	$13.45	$24.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.45 / $21.38	Professional		$10.49	$13.45	$21.38