Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $20.04 / $94.84	Facility		$4.79	$20.04	$94.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.13	Professional		$4.79	$4.79	$6.13
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 / $6.10	Professional		$4.79	$4.79	$6.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $10.98	Professional		$4.79	$4.79	$10.98
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.76	Professional		$4.79	$4.79	$7.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.57 / $6.57 / $6.57	Professional		$6.57	$6.57	$6.57