Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $19.76 / $1,552.16	Facility		$19.76	$19.76	$1,552.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $37.15	Professional		$21.70	$21.70	$37.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $21.70	Professional		$19.76	$19.76	$21.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $85.00	Facility		$23.52	$23.52	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $27.64	Professional		$21.70	$21.70	$27.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $21.70 / $70.97	Professional		$18.45	$21.70	$70.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $24.16 / $26.34	Professional		$21.70	$24.16	$26.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $23.52 / $28.43	Professional		$23.52	$23.52	$28.43