Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.32 / $25.12	Professional		$13.48	$15.32	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.85 / $30.26	Professional		$16.54	$18.85	$30.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $14.14 / $26.43	Facility		$10.82	$14.14	$26.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $21.68 / $33.09	Professional		$10.82	$21.68	$33.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.53 / $30.63	Professional		$20.42	$25.53	$30.63
United Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $15.08 / $15.41	Facility		$9.69	$15.08	$15.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.25 / $18.57	Professional		$9.19	$12.25	$18.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.21 / $20.04	Professional		$7.96	$10.21	$20.04