Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $86.94 / $86.94	Facility		$86.94	$86.94	$86.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $116.50	Professional		$87.28	$87.28	$116.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Professional		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $111.16	Professional		$87.28	$87.28	$111.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $95.35	Professional		$87.28	$87.28	$95.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $105.94	Professional		$87.28	$87.28	$105.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Professional		$84.80	$84.80	$84.80