Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $53.50 / $159.90	Facility		$23.25	$53.50	$159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $16.77 / $23.26	Professional		$13.57	$16.77	$23.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $17.89 / $28.90	Professional		$15.70	$17.89	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $13.43 / $24.91	Facility		$10.27	$13.43	$24.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $20.59 / $31.78	Professional		$10.27	$20.59	$31.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.23 / $29.07	Professional		$19.38	$24.23	$29.07
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.63 / $16.36	Professional		$8.14	$11.63	$16.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $9.69 / $19.02	Professional		$7.56	$9.69	$19.02