Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $199.53	Facility		$46.77	$74.13	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $51.29	Professional		$10.00	$12.88	$51.29
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 / $16.98	Facility		$6.76	$7.59	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.59 / $16.60	Professional		$6.46	$7.59	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88