Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $123.03 / $154.88	Facility		$25.70	$123.03	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $34.67	Professional		$15.85	$18.62	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $16.98 / $19.50	Professional		$6.46	$16.98	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.79 / $27.54	Facility		$11.22	$14.79	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $74.13	Professional		$11.22	$16.22	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $40.74	Professional		$21.38	$23.44	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.00 / $16.22	Facility		$8.91	$10.00	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $19.50	Professional		$9.55	$12.88	$19.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $20.89 / $31.62	Professional		$8.32	$20.89	$31.62