Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $70.79 / $109.65	Facility		$7.59	$70.79	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.98 / $23.99	Professional		$14.79	$16.98	$23.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $22.39	Professional		$17.78	$17.78	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $23.99	Professional		$15.14	$17.78	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $21.38	Professional		$17.78	$17.78	$21.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89