Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $61.54 / $91.69	Professional		$57.92	$61.54	$91.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $62.23 / $85.00	Facility		$62.23	$62.23	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Professional		$61.54	$61.54	$61.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $248.62 / $324.29	Professional		$104.92	$248.62	$324.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $67.17 / $73.01	Professional		$60.34	$67.17	$73.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96