Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $66.23 / $80.93	Professional		$59.46	$66.23	$80.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.45 / $122.00 / $135.00	Professional		$121.45	$122.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $87.15 / $189.35	Professional		$55.64	$87.15	$189.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $85.56 / $155.01	Professional		$68.34	$85.56	$155.01
United Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $99.58 / $203.59	Professional		$80.26	$99.58	$203.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $80.61 / $80.61	Professional		$80.61	$80.61	$80.61