Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $26.35 / $166.85	Facility		$16.25	$26.35	$166.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $19.57 / $39.24	Professional		$16.05	$19.57	$39.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $20.27 / $32.64	Professional		$17.79	$20.27	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $15.19 / $28.42	Facility		$11.64	$15.19	$28.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $23.33 / $35.70	Professional		$11.64	$23.33	$35.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.45 / $32.94	Professional		$21.96	$27.45	$32.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $13.07 / $16.69	Professional		$9.22	$13.07	$16.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $10.98 / $21.56	Professional		$8.56	$10.98	$21.56