Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $41.40	Facility		$41.40	$41.40	$41.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $55.48	Professional		$42.48	$42.48	$55.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $42.47	Professional		$41.40	$41.40	$42.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $54.10	Professional		$42.48	$42.48	$54.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $47.84	Professional		$42.48	$42.48	$47.84
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.16	Professional		$42.48	$42.48	$53.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32