Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $26.70 / $1,554.69	Facility		$11.16	$26.70	$1,554.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $14.95	Professional		$9.64	$9.64	$14.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $9.65 / $11.16	Professional		$9.65	$9.65	$11.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $12.28	Professional		$9.64	$9.64	$12.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $23.28	Professional		$9.64	$9.64	$23.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.80 / $66.50	Professional		$9.64	$10.80	$66.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Professional		$12.58	$12.58	$12.58