Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $147.91	Facility		$63.10	$63.10	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $66.07	Professional		$18.20	$21.88	$66.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $19.50 / $22.39	Professional		$7.41	$19.50	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $31.62	Facility		$12.88	$16.98	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $85.11	Professional		$12.88	$18.62	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $46.77	Professional		$24.55	$26.92	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.47 / $18.62	Facility		$10.23	$10.47	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $22.39	Professional		$10.96	$14.45	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $23.99 / $36.31	Professional		$9.55	$23.99	$36.31