Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $127.65 / $127.65	Facility		$127.65	$127.65	$127.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $149.58	Professional		$127.65	$127.65	$149.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $120.14 / $120.14	Professional		$120.14	$120.14	$120.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $80.78	Professional		$63.43	$63.43	$80.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $74.09 / $95.72	Professional		$63.81	$74.09	$95.72
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $150.18	Professional		$125.15	$125.15	$150.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00