Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $64.57 / $107.15	Facility		$12.30	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $23.44	Professional		$10.00	$11.75	$23.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $10.47 / $12.30	Professional		$4.07	$10.47	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $9.12 / $16.98	Facility		$6.92	$9.12	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $46.77	Professional		$6.92	$10.23	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.45 / $25.70	Professional		$13.18	$14.45	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.50 / $10.00	Facility		$5.25	$5.50	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $12.02	Professional		$5.89	$7.76	$12.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $12.88 / $19.95	Professional		$5.13	$12.88	$19.95