Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $51.41 / $51.41	Facility		$51.41	$51.41	$51.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $78.92 / $79.70	Professional		$62.30	$78.92	$79.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $78.92	Professional		$51.41	$51.41	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $100.51	Professional		$78.92	$78.92	$100.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $109.76	Professional		$78.92	$78.92	$109.76
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $85.97 / $116.17	Professional		$78.92	$85.97	$116.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $55.91 / $55.91	Professional		$55.91	$55.91	$55.91