Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $55.17 / $115.00	Facility		$27.08	$55.17	$115.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.04 / $22.06	Professional		$13.61	$16.04	$22.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $16.98 / $27.20	Professional		$14.90	$16.98	$27.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $12.75 / $23.64	Facility		$9.75	$12.75	$23.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $19.55 / $30.04	Professional		$9.75	$19.55	$30.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.99 / $27.59	Professional		$18.39	$22.99	$27.59
United Facility/Professional Facility Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Facility		$7.72	$7.72	$7.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.03 / $15.53	Professional		$8.27	$11.03	$15.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $9.19 / $18.05	Professional		$7.17	$9.19	$18.05