Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $89.13	Professional		$72.44	$74.13	$89.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $107.15	Facility		$70.79	$70.79	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $75.86	Professional		$63.10	$74.13	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $77.62	Facility		$74.13	$74.13	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $87.10	Professional		$74.13	$79.43	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72