Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $111.59 / $284.66	Facility		$17.82	$111.59	$284.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $41.01 / $42.99	Professional		$11.89	$41.01	$42.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $12.90 / $14.71	Professional		$9.16	$12.90	$14.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $11.13 / $20.80	Facility		$8.52	$11.13	$20.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $17.07 / $26.12	Professional		$8.52	$17.07	$26.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $20.09 / $24.11	Professional		$16.07	$20.09	$24.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $8.03 / $12.21	Professional		$5.90	$8.03	$12.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $8.03 / $15.77	Professional		$6.27	$8.03	$15.77