Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $77.27 / $77.27	Facility		$77.27	$77.27	$77.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $103.54	Professional		$77.39	$77.39	$103.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $77.26 / $77.39	Professional		$77.26	$77.26	$77.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $98.56	Professional		$77.39	$77.39	$98.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $81.29	Professional		$77.39	$77.39	$81.29
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $89.43	Professional		$77.39	$77.39	$89.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $76.63 / $76.63	Professional		$76.63	$76.63	$76.63