Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $158.49	Facility		$27.54	$27.54	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $19.95 / $56.23	Professional		$6.03	$19.95	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.31 / $7.59	Professional		$5.62	$6.31	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $50.12	Professional		$21.38	$28.84	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $16.22 / $35.48	Professional		$6.92	$16.22	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $39.81	Professional		$25.12	$28.84	$39.81