Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $61.66 / $208.93	Facility		$36.31	$61.66	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $138.04	Professional		$35.48	$41.69	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $72.44	Professional		$23.44	$33.11	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $61.66	Professional		$41.69	$47.86	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Facility		$17.38	$17.38	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $45.71	Professional		$24.55	$27.54	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69