Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $73.55 / $73.55	Facility		$73.55	$73.55	$73.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $109.59	Professional		$73.94	$73.94	$109.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $73.54 / $73.94	Professional		$73.54	$73.54	$73.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $70.37 / $85.00	Facility		$70.37	$70.37	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $87.19	Professional		$73.94	$73.94	$87.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $73.94 / $75.45	Professional		$62.85	$73.94	$75.45
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $82.31 / $89.47	Professional		$73.94	$82.31	$89.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.37 / $99.29	Professional		$70.37	$70.37	$99.29