Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $50.45 / $55.50	Facility		$50.45	$50.45	$55.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $64.58	Professional		$52.49	$52.49	$64.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $50.45 / $52.49	Professional		$50.45	$50.45	$52.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $49.40 / $52.96	Facility		$49.40	$49.40	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $61.89	Professional		$52.49	$52.49	$61.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $52.49 / $57.75	Professional		$44.62	$52.49	$57.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $58.43 / $62.81	Professional		$52.49	$58.43	$62.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $49.40 / $68.76	Professional		$49.40	$49.40	$68.76