Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.62 / $247.62 / $247.62	Facility		$247.62	$247.62	$247.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $12.97 / $22.39	Professional		$10.90	$12.97	$22.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $16.80	Professional		$13.00	$13.00	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $24.59 / $35.40	Professional		$17.21	$24.59	$35.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $12.88 / $19.46	Professional		$11.50	$12.88	$19.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.98	Professional		$14.13	$14.13	$17.98