Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $142.50	Facility		$21.88	$21.88	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $21.14 / $72.08	Professional		$12.79	$21.14	$72.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $20.07 / $80.00	Professional	25	$20.07	$20.07	$80.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.78 / $31.16	Professional		$17.09	$17.78	$31.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $23.44 / $46.66	Professional		$14.49	$23.44	$46.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $16.89 / $26.46	Professional		$13.38	$16.89	$26.46
United Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $20.60 / $31.38	Professional		$14.59	$20.60	$31.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $17.04 / $21.12	Professional		$11.87	$17.04	$21.12