Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $13,489.63 / $16,218.10	Facility		$14.13	$13,489.63	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $20.89	Facility		$14.13	$14.13	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $15.49	Professional		$12.02	$14.13	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.49	Facility		$14.13	$14.13	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $16.98	Professional		$14.13	$15.49	$16.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.62	Professional		$14.13	$14.13	$18.62