Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $104.71	Facility		$22.91	$27.54	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $66.07	Professional		$21.88	$22.91	$66.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Professional		$22.91	$22.91	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $33.11	Professional		$19.50	$22.91	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55