Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $91.20	Professional		$38.90	$39.81	$91.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $91.20	Facility		$52.48	$52.48	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $41.69	Professional		$39.81	$39.81	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $91.20	Professional		$33.88	$39.81	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Facility		$39.81	$39.81	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $52.48	Professional		$39.81	$44.67	$52.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $52.48	Professional		$39.81	$52.48	$52.48