Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $83.18 / $131.25	Facility		$26.80	$83.18	$131.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $19.47 / $22.34	Professional		$16.76	$19.47	$22.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $22.34 / $33.20	Professional		$20.11	$22.34	$33.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $15.47 / $28.91	Facility		$11.84	$15.47	$28.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $26.28 / $65.34	Professional		$17.18	$26.28	$65.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $27.93 / $33.51	Professional		$22.34	$27.93	$33.51
United Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $9.38 / $9.38	Facility		$9.38	$9.38	$9.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $13.40 / $20.32	Professional		$10.05	$13.40	$20.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.17 / $21.93	Professional		$8.71	$11.17	$21.93