Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $12.02	Professional		$6.03	$8.91	$12.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.79 / $21.38	Professional		$12.88	$14.79	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $16.22	Professional		$7.59	$9.33	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $22.91	Professional		$7.41	$7.41	$22.91