Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $79.69 / $79.69	Facility		$79.69	$79.69	$79.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.69 / $79.69 / $102.00	Professional		$79.69	$79.69	$102.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $101.25	Professional		$79.50	$79.50	$101.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $89.07 / $115.07	Professional		$76.70	$89.07	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $146.99	Professional		$90.69	$90.69	$146.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50