Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $75.86 / $169.82	Facility		$18.62	$75.86	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $173.78	Professional		$12.02	$14.79	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $79.43	Professional		$12.59	$14.79	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.79 / $15.49	Facility		$12.88	$14.79	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.49	Professional		$12.88	$12.88	$15.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44