Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $45.42 / $63.14	Facility		$0.99	$45.42	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $61.69 / $77.70	Professional		$51.19	$61.69	$77.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $766.00 / $766.00	Professional		$766.00	$766.00	$766.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $693.21 / $1,164.58	Facility		$376.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $68.55 / $145.44	Professional		$50.32	$68.55	$145.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $66.62 / $112.72	Professional		$54.23	$66.62	$112.72
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $62.15 / $113.95	Professional		$44.78	$62.15	$113.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00