Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $39.47 / $67.79	Professional		$35.49	$39.47	$67.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.43 / $48.43 / $59.28	Professional		$48.43	$48.43	$59.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $56.02	Facility		$56.02	$56.02	$56.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $40.89 / $40.89	Professional		$40.89	$40.89	$40.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $86.72 / $124.88	Professional		$60.70	$86.72	$124.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $43.27 / $68.97	Professional		$39.07	$43.27	$68.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $47.56 / $60.70	Professional		$47.56	$47.56	$60.70