Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $68.94 / $139.44	Facility		$44.48	$68.94	$139.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.85 / $28.96	Professional		$12.60	$14.85	$28.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.73 / $25.16	Professional		$13.79	$15.73	$25.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $11.79 / $22.04	Facility		$9.02	$11.79	$22.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $18.09 / $27.86	Professional		$9.02	$18.09	$27.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.29 / $25.55	Professional		$17.03	$21.29	$25.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Facility		$7.15	$7.15	$7.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.13 / $12.94	Professional		$7.15	$10.13	$12.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $16.71 / $16.71	Professional		$8.41	$16.71	$16.71