Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $36.31	Professional		$21.88	$25.70	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $23.99 / $29.51	Professional		$9.12	$23.99	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $38.02	Facility		$15.85	$20.42	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $104.71	Professional		$15.85	$22.91	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $57.54	Professional		$29.51	$32.36	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.59 / $22.39	Facility		$5.25	$12.59	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $26.92	Professional		$13.49	$17.78	$26.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $44.67	Professional		$11.48	$28.84	$44.67