Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.81 / $168.81 / $168.81	Facility		$168.81	$168.81	$168.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $17.21 / $17.91	Professional		$13.03	$17.21	$17.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $17.10 / $25.84	Professional		$14.21	$17.10	$25.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $13.66 / $25.55	Facility		$10.46	$13.66	$25.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $20.97 / $32.22	Professional		$10.46	$20.97	$32.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $24.68 / $29.61	Professional		$19.73	$24.68	$29.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.45 / $19.95	Professional		$8.88	$11.45	$19.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $9.86 / $19.37	Professional		$7.70	$9.86	$19.37