Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.02 / $202.02 / $202.02	Facility		$202.02	$202.02	$202.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $10.96 / $17.14	Professional		$9.39	$10.96	$17.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $14.25	Professional		$11.00	$11.00	$14.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $14.44	Facility		$14.44	$14.44	$14.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.44	Professional		$10.54	$10.54	$14.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $20.85 / $30.02	Professional		$14.60	$20.85	$30.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $10.97 / $16.48	Professional		$9.43	$10.97	$16.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $11.43 / $14.60	Professional		$11.43	$11.43	$14.60