Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $100.00	Facility		$91.20	$91.20	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $22.91	Professional		$14.13	$16.22	$22.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $15.14 / $17.38	Professional		$5.01	$15.14	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $24.55	Facility		$10.00	$12.88	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $66.07	Professional		$10.00	$14.45	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $36.31	Professional		$18.62	$20.42	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.30 / $52.48	Facility		$7.94	$12.30	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $16.98	Professional		$8.51	$10.72	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.20 / $28.18	Professional		$7.24	$18.20	$28.18