Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $963.58 / $1,269.65	Facility		$42.14	$963.58	$1,269.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $53.94	Professional		$42.14	$42.14	$53.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $28.62 / $35.44	Professional		$19.88	$28.62	$35.44
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $43.79	Professional		$41.31	$41.31	$43.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $34.78	Professional		$34.78	$34.78	$34.78