Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $79.14 / $99.95	Facility		$67.84	$79.14	$99.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $11.41 / $14.00	Professional		$10.03	$11.41	$14.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.04 / $22.44	Professional		$12.32	$14.04	$22.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $10.54 / $19.68	Facility		$8.06	$10.54	$19.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $16.16 / $24.82	Professional		$8.06	$16.16	$24.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.01 / $22.82	Professional		$15.21	$19.01	$22.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $9.05 / $13.84	Professional		$6.39	$9.05	$13.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.61 / $14.92	Professional		$5.93	$7.61	$14.92