Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $67.43	Facility		$63.79	$63.79	$67.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.64 / $22.10	Professional		$13.79	$16.64	$22.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.17 / $25.83	Professional		$19.05	$21.17	$25.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $20.79 / $48.77	Professional		$13.39	$20.79	$48.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $22.46 / $29.90	Professional		$15.36	$22.46	$29.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $25.78 / $29.65	Professional		$18.05	$25.78	$29.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $25.87 / $32.90	Professional		$20.50	$25.87	$32.90