Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Facility		$104.95	$104.95	$104.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $140.63	Professional		$104.73	$104.73	$140.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.95	Professional		$104.73	$104.73	$104.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $133.38	Professional		$104.73	$104.73	$133.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $112.15	Professional		$104.73	$104.73	$112.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $151.07	Professional		$104.73	$104.73	$151.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $100.73 / $100.73	Professional		$100.73	$100.73	$100.73