Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $77.62	Facility		$38.90	$38.90	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $109.65	Professional		$38.90	$72.44	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $47.86	Professional		$37.15	$41.69	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $165.96	Professional		$43.65	$79.43	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $100.00	Professional		$31.62	$69.18	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $131.83	Facility		$54.95	$72.44	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $125.89	Professional		$37.15	$69.18	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $128.82	Professional		$69.18	$100.00	$128.82