Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $22.91	Professional		$12.88	$16.22	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $14.79 / $16.98	Professional		$5.62	$14.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.88 / $23.99	Facility		$9.77	$12.88	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.13 / $64.57	Professional		$9.77	$14.13	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $35.48	Professional		$18.20	$20.42	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.71 / $60.26	Facility		$7.76	$8.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.96 / $25.12	Professional		$8.32	$10.96	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.20 / $27.54	Professional		$7.24	$18.20	$27.54