Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $25.12	Professional		$12.02	$12.02	$25.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $48.98 / $48.98	Facility		$12.59	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $48.98	Professional		$12.59	$12.59	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $112.20	Professional		$10.72	$12.59	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.89 / $12.59	Facility		$0.15	$5.89	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $14.79	Professional		$5.01	$12.59	$14.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.85 / $16.98	Professional		$10.23	$15.85	$16.98