Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $389.02	Facility		$4.24	$4.24	$389.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.68	Professional		$4.23	$4.23	$5.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.24	Professional		$4.23	$4.23	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.38	Professional		$4.23	$4.23	$5.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.80	Professional		$4.23	$4.23	$5.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.48	Professional		$4.23	$4.23	$4.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95