Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $114.82 / $114.82	Facility		$26.92	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $33.11	Professional		$20.89	$22.91	$33.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $21.38 / $27.54	Professional		$8.51	$21.38	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.50 / $74.13	Facility		$15.14	$19.50	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $123.03	Professional		$17.38	$26.30	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $44.67	Professional		$30.20	$33.11	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $22.91	Facility		$8.13	$12.59	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $26.92	Professional		$12.59	$16.22	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $44.67	Professional		$11.75	$23.99	$44.67