Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.91 / $13.18	Professional		$5.01	$8.91	$13.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $20.89	Professional		$12.30	$14.45	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.12 / $15.49	Professional		$7.08	$9.12	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22