Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $47.86	Facility		$12.02	$28.18	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $501.19	Professional		$15.85	$38.90	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $23.44	Professional		$18.20	$20.42	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $60.26	Professional		$24.55	$44.67	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $31.62 / $44.67	Professional		$13.80	$31.62	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $56.23	Facility		$25.12	$34.67	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $39.81 / $66.07	Professional		$16.98	$39.81	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $60.26	Professional		$38.02	$44.67	$60.26