Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $524.81	Facility		$83.18	$229.09	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $13.80 / $138.04	Professional		$3.98	$13.80	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.17	Professional		$4.79	$4.79	$6.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.79 / $12.02	Professional		$4.07	$4.79	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.75	Professional		$4.79	$4.79	$5.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90