Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $104.06	Professional		$71.37	$71.37	$104.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $71.37	Professional		$69.83	$69.83	$71.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $85.00	Facility		$65.31	$65.31	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.16	Professional		$71.37	$71.37	$84.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $71.37 / $83.77	Professional		$60.66	$71.37	$83.77
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $79.45 / $86.63	Professional		$71.37	$79.45	$86.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $65.31 / $94.27	Professional		$65.31	$65.31	$94.27