Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $99.62	Facility		$67.20	$67.20	$99.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $90.05	Professional		$49.95	$49.95	$90.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $67.20	Professional		$49.95	$49.95	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $63.62	Professional		$49.95	$49.95	$63.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $62.21	Professional		$49.95	$49.95	$62.21
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $69.12	Professional		$49.95	$49.95	$69.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $40.72	Professional		$40.72	$40.72	$40.72