Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $389.05	Facility		$288.40	$302.00	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $63.10	Professional		$15.14	$19.05	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $19.05 / $21.88	Professional		$5.75	$19.05	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.49 / $30.20	Facility		$10.96	$15.49	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $57.54	Professional		$10.96	$12.59	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.70 / $35.48	Professional		$23.44	$25.70	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.22 / $17.78	Facility		$10.00	$11.22	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.22 / $21.38	Professional		$9.55	$11.22	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.62 / $35.48	Professional		$9.12	$18.62	$35.48