Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $13.18 / $15.14	Professional		$3.80	$13.18	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.72 / $21.38	Facility		$7.94	$10.72	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $41.69	Professional		$7.94	$9.12	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $25.12	Professional		$16.60	$18.20	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $7.76 / $16.60	Facility		$6.92	$7.76	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $16.60	Professional		$6.46	$7.76	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.18 / $24.55	Professional		$6.46	$13.18	$24.55