Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $131.94 / $182.50	Facility		$70.00	$131.94	$182.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $20.54 / $20.69	Professional		$15.05	$20.54	$20.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $21.07 / $34.00	Professional		$18.48	$21.07	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.81 / $29.51	Facility		$12.09	$15.81	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $24.24 / $37.01	Professional		$12.09	$24.24	$37.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.51 / $34.22	Professional		$22.81	$28.51	$34.22
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $13.69 / $19.27	Professional		$10.26	$13.69	$19.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.41 / $22.39	Professional		$8.90	$11.41	$22.39