Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $111.41 / $2,624.58	Facility		$62.92	$111.41	$2,624.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $19.85 / $29.78	Professional		$14.26	$19.85	$29.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $37.31 / $46.69	Professional		$29.38	$37.31	$46.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $14.65 / $22.07	Professional		$13.23	$14.65	$22.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $13.03 / $24.97	Professional		$13.03	$13.03	$24.97