Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $28.84	Professional		$15.14	$18.20	$28.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $16.22 / $18.62	Professional		$7.08	$16.22	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.13 / $26.30	Facility		$10.72	$14.13	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $70.79	Professional		$10.72	$15.85	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $39.81	Professional		$20.42	$22.39	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $9.77 / $23.99	Facility		$8.51	$9.77	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $23.99	Professional		$9.12	$12.30	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $30.90	Professional		$7.94	$19.95	$30.90