Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $2,630.27	Facility		$69.18	$112.20	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $26.92	Professional		$12.02	$18.20	$26.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $44.67	Professional		$28.18	$33.11	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $30.20	Facility		$17.78	$17.78	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $22.39	Professional		$12.59	$14.79	$22.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $25.12	Professional		$12.88	$12.88	$25.12