Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $17.78	Professional		$12.02	$12.88	$17.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $13.49 / $15.49	Professional		$5.37	$13.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $11.22 / $21.88	Facility		$8.91	$11.22	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $87.10	Professional		$7.76	$10.96	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $25.12	Professional		$16.98	$18.62	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.08 / $12.88	Facility		$5.25	$7.08	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.51 / $15.49	Professional		$7.59	$8.51	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.13 / $25.12	Professional		$6.61	$14.13	$25.12