Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $77.62 / $173.78	Facility		$4.07	$77.62	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $48.98	Professional		$3.98	$3.98	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
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 $4.07 / $4.07 / $4.27	Professional		$4.07	$4.07	$4.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.07 / $7.94	Professional		$3.55	$4.07	$7.94
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $7.08	Facility		$4.07	$4.07	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.57 / $6.61	Professional		$4.07	$4.57	$6.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.17 / $5.37	Professional		$4.07	$4.17	$5.37