Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $112.20 / $165.96	Facility		$33.88	$112.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $30.90	Professional		$19.95	$25.12	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $22.39 / $25.70	Professional		$8.51	$22.39	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.50 / $36.31	Facility		$14.79	$19.50	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $97.72	Professional		$14.79	$21.38	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $41.69	Professional		$28.18	$30.90	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $21.38	Facility		$11.75	$13.49	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $25.70	Professional		$11.75	$16.60	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $27.54 / $41.69	Professional		$10.96	$27.54	$41.69