Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $234.42 / $537.03	Facility		$2.75	$234.42	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $6.31	Professional		$2.00	$2.00	$6.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.88	Professional		$2.75	$2.75	$2.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.75 / $12.59	Professional		$2.34	$2.75	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $3.39	Facility		$2.75	$2.75	$3.39
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.09 / $3.39	Professional		$2.75	$3.09	$3.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.88 / $3.63	Professional		$2.75	$2.88	$3.63