Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $46.16 / $94.07	Facility		$28.59	$46.16	$94.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $14.39 / $20.07	Professional		$11.76	$14.39	$20.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.51 / $24.82	Professional		$13.61	$15.51	$24.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.90 / $11.63 / $21.59	Facility		$8.90	$11.63	$21.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $17.85 / $27.43	Professional		$8.90	$17.85	$27.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.00 / $25.20	Professional		$16.80	$21.00	$25.20
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $10.08 / $15.29	Professional		$7.56	$10.08	$15.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $16.50 / $16.50	Professional		$8.30	$16.50	$16.50