Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $100.00 / $186.21	Facility		$1.00	$100.00	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $67.61 / $173.78	Professional		$30.20	$67.61	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $44.67	Professional		$30.20	$33.88	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $54.95	Facility		$41.69	$41.69	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $154.88	Professional		$32.36	$57.54	$154.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $131.83	Professional		$44.67	$93.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $128.82	Facility		$22.39	$32.36	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $144.54	Professional		$30.90	$58.88	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $93.33 / $134.90	Professional		$29.51	$93.33	$134.90