Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $100.00	Facility		$67.61	$93.33	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $18.62	Professional		$10.96	$12.88	$18.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $12.30 / $14.13	Professional		$5.25	$12.30	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.47 / $19.50	Facility		$8.13	$10.47	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $52.48	Professional		$8.13	$11.75	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $29.51	Professional		$15.14	$16.60	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.46 / $11.48	Facility		$5.25	$6.46	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.12 / $13.80	Professional		$6.92	$9.12	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $14.79 / $22.91	Professional		$5.89	$14.79	$22.91