Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $181.97 / $181.97	Facility		$66.07	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.95	Professional		$10.00	$12.88	$19.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $12.88 / $14.79	Professional		$3.80	$12.88	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.47 / $20.89	Facility		$7.94	$10.47	$20.89
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 $16.22 / $17.78 / $25.12	Professional		$16.22	$17.78	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.59 / $16.22	Facility		$6.76	$7.59	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $16.22	Professional		$6.46	$7.59	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.88 / $23.99	Professional		$6.31	$12.88	$23.99