Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.26 / $169.26 / $169.26	Facility		$169.26	$169.26	$169.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.36 / $11.31	Professional		$6.47	$7.36	$11.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.83 / $13.60	Professional		$7.95	$8.83	$13.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $6.45 / $12.69	Facility		$5.20	$6.45	$12.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $9.74 / $14.80	Professional		$5.20	$9.74	$14.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $11.77 / $14.72	Professional		$9.32	$11.77	$14.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $5.62 / $7.46	Professional		$4.12	$5.62	$7.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.91 / $8.99	Professional		$3.83	$4.91	$8.99