Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $389.05	Facility		$4.27	$4.27	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.89	Professional		$3.98	$3.98	$5.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $5.37	Professional		$4.27	$4.27	$5.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $6.03	Professional		$3.63	$4.27	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.27 / $5.13	Professional		$3.98	$4.27	$5.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98