Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $89.13 / $912.01	Facility		$12.59	$89.13	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $34.67	Professional		$20.89	$24.55	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $26.30	Professional		$12.30	$15.49	$26.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50