Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $169.82 / $194.98	Facility		$57.54	$169.82	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $162.18	Professional		$8.91	$19.05	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $16.22 / $19.05	Professional		$2.75	$16.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.48 / $26.30	Facility		$6.03	$11.48	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $32.36	Professional		$6.17	$9.33	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $21.38 / $30.90	Professional		$19.50	$21.38	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $8.51 / $15.49	Facility		$6.31	$8.51	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.12 / $14.13	Professional		$5.25	$9.12	$14.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $30.90	Professional		$7.94	$16.22	$30.90