Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.92 / $57.54	Professional		$18.62	$26.92	$57.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $37.15	Professional		$25.12	$28.18	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $27.54 / $69.18	Professional		$19.50	$27.54	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $64.57	Professional		$35.48	$41.69	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $26.92	Facility		$14.79	$14.79	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $31.62	Professional		$14.79	$20.42	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $34.67	Professional		$17.38	$34.67	$34.67