Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $70.59	Professional		$55.16	$55.16	$70.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $55.15 / $55.16	Professional		$55.15	$55.15	$55.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $55.16	Facility		$54.58	$54.58	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $55.16 / $55.16	Professional		$54.58	$55.16	$55.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $55.16 / $57.79	Professional		$51.37	$55.16	$57.79
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $56.54	Professional		$22.06	$55.16	$56.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $53.59 / $55.16	Professional		$45.78	$53.59	$55.16