Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $411.68	Facility		$67.89	$67.89	$411.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $79.55	Professional		$67.89	$67.89	$79.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $63.90	Professional		$63.90	$63.90	$63.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $89.75 / $122.39	Professional		$71.89	$89.75	$122.39
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $70.14	Professional		$66.56	$66.56	$70.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $19.92 / $19.92	Professional		$19.92	$19.92	$19.92