Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $109.48	Professional		$78.80	$78.80	$109.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $81.70	Professional		$78.79	$78.79	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $100.35	Professional		$78.79	$78.79	$100.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $122.91	Professional		$78.80	$78.80	$122.91
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $83.53 / $102.31	Professional		$78.80	$83.53	$102.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $81.43 / $81.43	Professional		$81.43	$81.43	$81.43