Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $8,942.68	Facility		$21.99	$21.99	$8,942.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $49.85	Professional		$19.00	$19.19	$49.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.99 / $21.99	Professional		$19.00	$21.99	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $90.07	Facility		$26.37	$26.37	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.00 / $19.00	Professional		$18.01	$19.00	$19.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.00 / $95.38	Professional		$16.14	$19.00	$95.38
United Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $21.15 / $23.06	Professional		$19.00	$21.15	$23.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $26.37 / $29.69	Professional		$21.85	$26.37	$29.69