Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.85 / $134.85 / $134.85	Facility		$134.85	$134.85	$134.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.61 / $21.12	Professional		$13.18	$15.61	$21.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.56 / $25.08	Professional		$18.50	$20.56	$25.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $21.85 / $54.76	Professional		$13.62	$21.85	$54.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $21.49 / $30.09	Professional		$14.67	$21.49	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $24.64 / $28.34	Professional		$16.96	$24.64	$28.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $24.71 / $31.44	Professional		$19.59	$24.71	$31.44