Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $245.47 / $691.83	Facility		$41.69	$245.47	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $107.15	Professional		$28.84	$30.20	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $38.90	Professional		$28.84	$32.36	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $36.31	Facility		$30.20	$33.88	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47