Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3,897.60	Facility		$3.89	$3.89	$3,897.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.98	Professional		$3.89	$3.89	$4.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.95	Professional		$3.89	$3.89	$4.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $4.19	Professional		$3.89	$3.89	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.61	Professional		$3.89	$3.89	$5.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $3.93	Professional		$3.93	$3.93	$3.93