Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $52.22	Professional		$40.79	$40.79	$52.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $54.00	Professional		$42.40	$42.40	$54.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.74 / $15.17	Professional		$10.11	$11.74	$15.17
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $50.00 / $53.00	Professional		$47.00	$50.00	$53.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40