Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $131.83	Professional		$25.12	$30.20	$131.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.92 / $31.62	Professional		$11.75	$26.92	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.44 / $43.65	Facility		$17.78	$23.44	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.30 / $117.49	Professional		$17.78	$26.30	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $66.07	Professional		$33.88	$37.15	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.13 / $25.70	Facility		$13.80	$14.13	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $30.90	Professional		$15.14	$20.42	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.11 / $51.29	Professional		$13.18	$33.11	$51.29