Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $154.88	Facility		$134.90	$134.90	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $20.89	Professional		$12.88	$15.14	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $14.45 / $16.60	Professional		$4.57	$14.45	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.02 / $23.44	Facility		$8.71	$12.02	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $45.71	Professional		$8.71	$10.00	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $26.92	Professional		$18.20	$19.95	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.51 / $15.14	Facility		$7.59	$8.51	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $18.62	Professional		$10.00	$11.22	$18.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45