Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $144.54 / $144.54	Facility		$25.12	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $44.67	Professional		$23.99	$25.12	$44.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.70	Professional		$25.12	$25.12	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $42.66	Professional		$20.89	$25.12	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $27.54	Facility		$25.12	$25.12	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $30.20	Professional		$25.12	$27.54	$30.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $32.36	Professional		$25.12	$25.12	$32.36