Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $495.63 / $1,162.29	Facility		$43.22	$495.63	$1,162.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $35.51	Professional		$30.01	$30.01	$35.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $29.30 / $30.01	Professional		$29.30	$29.30	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $38.22	Professional		$30.01	$30.01	$38.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $35.21	Professional		$30.01	$30.01	$35.21
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $31.81	Professional		$30.01	$30.01	$31.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $26.82 / $26.82	Professional		$26.82	$26.82	$26.82