Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $53.76 / $53.76	Facility		$53.76	$53.76	$53.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $53.55	Professional		$51.00	$51.00	$53.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Professional		$22.31	$22.31	$22.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $68.81	Facility		$51.00	$51.00	$68.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $64.95	Professional		$51.00	$51.00	$64.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $51.00 / $107.33	Professional		$43.35	$51.00	$107.33
United Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $51.00 / $53.81	Professional		$49.79	$51.00	$53.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.40 / $66.81	Professional		$52.40	$52.40	$66.81