Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $39.61 / $39.61	Facility		$39.61	$39.61	$39.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $53.09	Professional		$39.54	$39.54	$53.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.61	Professional		$39.54	$39.54	$39.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $50.36	Professional		$39.54	$39.54	$50.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $73.80	Professional		$39.54	$39.54	$73.80
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $41.91	Professional		$39.54	$39.54	$41.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $28.74 / $28.74	Professional		$28.74	$28.74	$28.74