Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $95.89 / $172.39	Facility		$15.83	$95.89	$172.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $19.13 / $19.41	Professional		$15.83	$19.13	$19.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $17.18 / $25.84	Professional		$15.46	$17.18	$25.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $14.83 / $27.70	Facility		$11.35	$14.83	$27.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $22.75 / $34.83	Professional		$11.35	$22.75	$34.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $26.76 / $32.11	Professional		$21.41	$26.76	$32.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $11.96 / $16.27	Professional		$9.63	$11.96	$16.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $10.71 / $21.01	Professional		$8.35	$10.71	$21.01