Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $39.20 / $93.00	Facility		$3.00	$39.20	$93.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $32.54 / $34.24	Professional		$27.59	$32.54	$34.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $19.77 / $25.79	Professional		$17.19	$19.77	$25.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $15.46 / $20.99	Professional		$11.27	$15.46	$20.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $19.77 / $19.77	Professional		$19.77	$19.77	$19.77