Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.43 / $148.43 / $215.09	Facility		$148.43	$148.43	$215.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.81 / $14.61	Professional		$9.64	$10.81	$14.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $11.69 / $16.32	Professional		$10.52	$11.69	$16.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $9.60 / $18.89	Facility		$7.32	$9.60	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $11.63 / $21.17	Professional		$7.32	$11.63	$21.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $18.26 / $21.92	Professional		$14.61	$18.26	$21.92
United Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $6.14	Facility		$6.14	$6.14	$6.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.93 / $13.29	Professional		$6.42	$6.93	$13.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $7.31 / $11.61	Professional		$5.70	$7.31	$11.61