Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $39.89 / $626.27	Facility		$1.00	$39.89	$626.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $32.99 / $102.13	Professional		$15.41	$32.99	$102.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $27.95 / $35.50	Professional		$27.95	$27.95	$35.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.61 / $37.97 / $69.37	Professional		$22.61	$37.97	$69.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $47.24 / $87.30	Professional		$38.09	$47.24	$87.30
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $150.00 / $150.00	Facility		$128.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $41.35 / $83.98	Professional		$28.10	$41.35	$83.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $32.36 / $47.24	Professional		$26.29	$32.36	$47.24