Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $141.25 / $141.25	Facility		$97.72	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $51.29	Professional		$16.98	$20.89	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $21.88	Professional		$16.22	$18.20	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $39.81	Professional		$12.30	$16.22	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $38.90	Professional		$22.91	$27.54	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $17.38	Facility		$9.55	$9.55	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $20.42	Professional		$9.55	$12.30	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.50 / $19.50	Professional		$11.48	$19.50	$19.50