Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $104.71	Facility		$41.69	$67.61	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $41.69	Professional		$16.98	$20.89	$41.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.05 / $22.39	Professional		$8.32	$19.05	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $30.20	Facility		$12.88	$16.98	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $85.11	Professional		$12.88	$25.70	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $36.31	Professional		$23.99	$26.30	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $18.20	Facility		$10.00	$11.48	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $21.88	Professional		$10.96	$14.45	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44