Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $111.44 / $189.92	Facility		$18.13	$111.44	$189.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $15.76 / $16.25	Professional		$11.65	$15.76	$16.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $16.29 / $26.18	Professional		$14.30	$16.29	$26.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $12.22 / $22.84	Facility		$9.35	$12.22	$22.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $18.75 / $28.73	Professional		$9.35	$18.75	$28.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $22.06 / $26.48	Professional		$17.64	$22.06	$26.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.43 / $13.41	Professional		$7.94	$10.43	$13.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.83 / $17.32	Professional		$6.88	$8.83	$17.32