Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $114.82 / $131.83	Facility		$35.48	$114.82	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $51.29	Professional		$15.85	$19.05	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $19.05 / $22.39	Professional		$6.17	$19.05	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.85 / $30.90	Facility		$11.75	$15.85	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $61.66	Professional		$11.75	$13.49	$61.66
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 / $22.91	Facility		$10.00	$11.48	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.48 / $22.91	Professional		$10.23	$11.48	$22.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.05 / $36.31	Professional		$9.33	$19.05	$36.31