Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $142.05 / $142.05	Facility		$142.05	$142.05	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $18.42 / $24.56	Professional		$16.21	$18.42	$24.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $16.32 / $19.60	Professional		$10.80	$16.32	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $15.41 / $31.78	Facility		$8.02	$15.41	$31.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $12.74 / $35.11	Professional		$8.15	$12.74	$35.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $29.47 / $36.84	Professional		$24.56	$29.47	$36.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $11.54 / $18.67	Professional		$6.75	$11.54	$18.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $12.28 / $19.53	Professional		$9.58	$12.28	$19.53