Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.43 / $57.43 / $57.43	Facility		$57.43	$57.43	$57.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $73.51	Professional		$56.10	$56.10	$73.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $56.11 / $57.43	Professional		$56.11	$56.11	$57.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $71.45	Professional		$56.10	$56.10	$71.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $64.90	Professional		$56.10	$56.10	$64.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $80.92	Professional		$56.10	$56.10	$80.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02