Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $37.04	Facility		$37.04	$37.04	$37.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $55.20	Professional		$36.67	$37.04	$55.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $37.04 / $37.04	Professional		$36.67	$37.04	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $46.70	Professional		$36.67	$36.67	$46.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $36.67 / $128.54	Professional		$31.17	$36.67	$128.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $40.82 / $44.51	Professional		$36.67	$40.82	$44.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $46.80 / $50.02	Professional		$42.17	$46.80	$50.02