Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $162.18 / $162.18	Facility		$43.65	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $43.65	Professional		$12.02	$19.95	$43.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $12.88 / $14.79	Professional		$3.02	$12.88	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $11.22 / $20.89	Facility		$8.51	$11.22	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $56.23	Professional		$8.51	$12.30	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $23.99	Professional		$16.22	$17.78	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.59 / $12.30	Facility		$6.76	$7.59	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $14.45	Professional		$5.89	$7.94	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $15.85 / $23.99	Professional		$6.31	$15.85	$23.99