Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $69.81	Professional		$54.55	$54.55	$69.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Professional		$59.81	$59.81	$59.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $96.54 / $96.54	Professional		$96.54	$96.54	$96.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $56.42 / $67.67	Professional		$54.73	$56.42	$67.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $55.29 / $55.29	Professional		$55.29	$55.29	$55.29