Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $4,073.80 / $5,754.40	Facility		$20.42	$4,073.80	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $34.67	Professional		$19.95	$20.42	$34.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $26.30	Professional		$20.42	$20.42	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $21.88	Professional		$17.38	$20.42	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $23.99	Professional		$19.50	$20.42	$23.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50