Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $45.34 / $62.50	Facility		$19.98	$45.34	$62.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $26.32 / $26.78	Professional		$21.60	$26.32	$26.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $27.26 / $44.20	Professional		$23.92	$27.26	$44.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $20.43 / $38.21	Facility		$15.65	$20.43	$38.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $31.37 / $48.32	Professional		$15.65	$31.37	$48.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $36.90 / $44.30	Professional		$29.53	$36.90	$44.30
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $17.72 / $35.70	Professional		$13.29	$17.72	$35.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $14.77 / $28.99	Professional		$11.52	$14.77	$28.99