Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $99.82 / $99.82	Facility		$99.82	$99.82	$99.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $133.76	Professional		$99.97	$99.97	$133.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $99.82 / $99.97	Professional		$99.82	$99.82	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $127.32	Professional		$99.97	$99.97	$127.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $105.68	Professional		$99.97	$99.97	$105.68
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $117.42	Professional		$99.97	$99.97	$117.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $98.83 / $98.83	Professional		$98.83	$98.83	$98.83