Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $62.97	Facility		$62.97	$62.97	$62.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $93.83	Professional		$61.44	$62.05	$93.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.97 / $62.97	Professional		$61.44	$62.97	$62.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $79.48	Facility		$63.06	$63.06	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $72.45	Professional		$61.44	$61.44	$72.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $61.44 / $84.12	Professional		$52.22	$61.44	$84.12
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $68.40 / $74.78	Professional		$61.44	$68.40	$74.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $85.01	Professional		$63.06	$63.06	$85.01