Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $81.59	Professional		$63.75	$63.75	$81.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $67.67 / $67.67	Professional		$67.67	$67.67	$67.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $1,841.11 / $2,510.61	Professional		$193.75	$1,841.11	$2,510.61
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $66.25	Professional		$62.50	$62.50	$66.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $67.64 / $67.64	Professional		$67.64	$67.64	$67.64