Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $154.88	Facility		$30.20	$57.54	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $60.26	Professional		$2.00	$2.00	$60.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.47	Professional		$2.75	$2.75	$3.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.75 / $14.79	Professional		$2.34	$2.75	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.47	Professional		$2.75	$2.75	$3.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95