Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.50	Professional		$10.00	$12.02	$19.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $12.88 / $14.79	Professional		$4.68	$12.88	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.47 / $20.89	Facility		$8.51	$10.47	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $46.77	Professional		$8.51	$10.23	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $17.78 / $27.54	Professional		$15.85	$17.78	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.76 / $12.02	Facility		$5.25	$6.76	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.13 / $14.45	Professional		$7.24	$8.13	$14.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.88 / $23.99	Professional		$6.31	$12.88	$23.99