Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $62.47 / $62.47	Facility		$62.47	$62.47	$62.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $83.71	Professional		$63.68	$63.68	$83.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $63.68	Professional		$62.47	$62.47	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $81.11	Professional		$63.68	$63.68	$81.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $124.18	Professional		$63.68	$63.68	$124.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $73.58	Professional		$63.68	$63.68	$73.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $56.77 / $56.77	Professional		$56.77	$56.77	$56.77