Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $65.06 / $65.06	Facility		$65.06	$65.06	$65.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.00 / $11.61	Professional		$9.36	$11.00	$11.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.81 / $19.04	Professional		$10.36	$11.81	$19.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $8.85 / $16.55	Facility		$6.78	$8.85	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $13.60 / $20.90	Professional		$6.78	$13.60	$20.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $15.99 / $19.19	Professional		$12.79	$15.99	$19.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.67 / $11.64	Professional		$5.37	$7.67	$11.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.40 / $12.56	Professional		$4.99	$6.40	$12.56