Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $75.86 / $128.82	Facility		$25.12	$75.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $56.23	Professional		$15.49	$19.05	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $16.60 / $19.05	Professional		$6.31	$16.60	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.45 / $26.92	Facility		$10.96	$14.45	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $72.44	Professional		$10.96	$15.85	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $40.74	Professional		$20.89	$22.91	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $9.77 / $15.85	Facility		$8.71	$9.77	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $19.05	Professional		$9.33	$12.59	$19.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $20.42 / $30.90	Professional		$8.13	$20.42	$30.90