Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.91 / $145.91 / $145.91	Facility		$145.91	$145.91	$145.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.51 / $23.80	Professional		$12.77	$14.51	$23.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $17.87 / $28.90	Professional		$15.67	$17.87	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.26 / $13.40 / $25.04	Facility		$10.26	$13.40	$25.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $20.56 / $31.35	Professional		$10.26	$20.56	$31.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $24.19 / $29.03	Professional		$19.35	$24.19	$29.03
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $11.61 / $17.61	Professional		$8.71	$11.61	$17.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $9.68 / $19.00	Professional		$7.55	$9.68	$19.00