Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $71.66 / $71.66	Facility		$71.66	$71.66	$71.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $96.02	Professional		$66.64	$66.64	$96.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $71.67	Professional		$66.64	$66.64	$71.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $84.87	Professional		$66.64	$66.64	$84.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $100.68	Professional		$66.64	$66.64	$100.68
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $75.70	Professional		$66.64	$66.64	$75.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Professional		$65.94	$65.94	$65.94