Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $165.96	Facility		$89.13	$109.65	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $21.38	Professional		$12.02	$15.14	$21.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $13.80 / $15.85	Professional		$5.25	$13.80	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.75 / $22.39	Facility		$9.12	$11.75	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $60.26	Professional		$9.12	$13.18	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $33.11	Professional		$16.98	$19.05	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.24 / $13.18	Facility		$5.25	$7.24	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.23 / $15.49	Professional		$7.76	$10.23	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $16.98 / $25.70	Professional		$6.76	$16.98	$25.70