Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.31 / $153.31 / $153.31	Facility		$153.31	$153.31	$153.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $9.42 / $11.17	Professional		$8.28	$9.42	$11.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $11.59 / $18.70	Professional		$10.17	$11.59	$18.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.66 / $8.71 / $16.25	Facility		$6.66	$8.71	$16.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $13.35 / $20.46	Professional		$6.66	$13.35	$20.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $15.70 / $18.84	Professional		$12.56	$15.70	$18.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.48 / $9.55	Professional		$5.28	$7.48	$9.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.28 / $12.33	Professional		$4.90	$6.28	$12.33