Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $21.55	Professional		$16.22	$16.22	$21.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $21.79	Professional		$14.46	$16.22	$21.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $49.11 / $49.11	Facility		$16.22	$49.11	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $16.22 / $112.05	Professional		$15.41	$16.22	$112.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $17.21	Professional		$6.49	$16.22	$17.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.00 / $16.22	Professional		$12.00	$16.00	$16.22