Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $46.91 / $46.91	Facility		$46.91	$46.91	$46.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $49.28 / $62.86	Professional		$49.26	$49.28	$62.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $46.92 / $49.28	Professional		$46.92	$46.92	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $62.76	Professional		$49.28	$49.28	$62.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $53.06	Professional		$49.28	$49.28	$53.06
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $58.96	Professional		$49.28	$49.28	$58.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65