Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Facility		$50.10	$50.10	$50.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $50.10 / $74.65	Professional		$47.15	$50.10	$74.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $70.00	Facility		$52.07	$52.07	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $61.40	Professional		$52.07	$52.07	$61.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $96.00 / $112.00	Professional		$66.00	$96.00	$112.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $65.42 / $70.03	Professional		$58.94	$65.42	$70.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $52.07	Professional		$52.07	$52.07	$52.07