Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $113.19	Professional		$88.43	$88.43	$113.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $83.23	Professional		$83.23	$83.23	$83.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $93.64 / $127.62	Professional		$85.08	$93.64	$127.62
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $91.90	Professional		$86.70	$86.70	$91.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Professional		$91.90	$91.90	$91.90