Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $40.38 / $237.46	Facility		$4.05	$40.38	$237.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $54.11	Professional		$39.45	$39.45	$54.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $39.44 / $40.39	Professional		$39.44	$39.44	$40.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $50.24	Professional		$39.45	$39.45	$50.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $169.65	Professional		$39.45	$39.45	$169.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.44	Professional		$39.45	$39.45	$40.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $60.46 / $60.46	Professional		$60.46	$60.46	$60.46