Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $95.60 / $171.25	Facility		$15.11	$95.60	$171.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.77 / $20.95	Professional		$9.02	$12.77	$20.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $17.03 / $25.31	Professional		$15.33	$17.03	$25.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $11.79 / $22.04	Facility		$9.02	$11.79	$22.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $22.09 / $58.84	Professional		$13.10	$22.09	$58.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.29 / $25.55	Professional		$17.03	$21.29	$25.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Facility		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $12.94	Professional		$7.15	$10.22	$12.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $8.52 / $16.71	Professional		$6.64	$8.52	$16.71