Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.17 / $22.75	Professional		$0.75	$1.17	$22.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.69 / $317.69 / $317.69	Professional		$317.69	$317.69	$317.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.66 / $2.47	Professional		$1.32	$1.66	$2.47
United Facility/Professional Facility Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Facility		$235.83	$235.83	$235.83
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $249.98	Professional		$235.83	$235.83	$249.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Professional		$235.83	$235.83	$235.83