Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $22.62 / $293.19	Facility		$22.62	$22.62	$293.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $30.31	Professional		$21.48	$21.48	$30.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $21.49 / $22.62	Professional		$21.49	$21.49	$22.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $27.36	Professional		$21.48	$21.48	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $56.88	Professional		$21.48	$21.48	$56.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $22.77	Professional		$21.48	$21.48	$22.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Professional		$23.98	$23.98	$23.98