Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.32 / $131.32 / $131.32	Facility		$131.32	$131.32	$131.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $21.96 / $36.64	Professional		$19.59	$21.96	$36.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $29.25 / $44.20	Professional		$24.04	$29.25	$44.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $20.54 / $38.40	Facility		$15.73	$20.54	$38.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $31.53 / $48.32	Professional		$15.73	$31.53	$48.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $37.10 / $44.52	Professional		$29.68	$37.10	$44.52
United Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Facility		$12.47	$12.47	$12.47
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $17.66 / $24.04	Professional		$12.47	$17.66	$24.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.84 / $29.13	Professional		$11.58	$14.84	$29.13