Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Facility		$15.64	$15.64	$15.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $17.12 / $88.22	Professional		$14.76	$17.12	$88.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $149.66	Professional		$20.12	$20.12	$149.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $27.91 / $131.08	Professional		$15.32	$27.91	$131.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $26.04 / $96.49	Professional		$20.03	$26.04	$96.49
United Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $24.66 / $78.48	Professional		$13.66	$24.66	$78.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $22.44 / $28.55	Professional		$14.91	$22.44	$28.55