Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $660.69 / $977.24	Facility		$15.85	$660.69	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $177.83	Professional		$15.85	$25.12	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $22.91	Professional		$15.49	$16.98	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $42.66	Professional		$11.75	$16.98	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $40.74	Professional		$21.38	$25.70	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $16.22	Facility		$8.91	$8.91	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $35.48	Professional		$12.88	$19.50	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.89 / $20.89	Professional		$10.72	$20.89	$20.89