Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $110.61 / $167.82	Facility		$69.42	$110.61	$167.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $12.87 / $15.78	Professional		$11.33	$12.87	$15.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $15.84 / $25.50	Professional		$13.90	$15.84	$25.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $11.88 / $22.21	Facility		$9.09	$11.88	$22.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $18.23 / $27.86	Professional		$9.09	$18.23	$27.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $21.45 / $25.74	Professional		$17.16	$21.45	$25.74
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.21 / $15.62	Professional		$7.21	$10.21	$15.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.58 / $16.85	Professional		$6.69	$8.58	$16.85