Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $49.12 / $49.12	Facility		$49.12	$49.12	$49.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $42.02	Professional		$38.54	$38.54	$42.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $30.70	Professional		$30.70	$30.70	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $63.57	Facility		$38.54	$38.54	$63.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $49.09	Professional		$38.54	$38.54	$49.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $38.54 / $87.60	Professional		$32.76	$38.54	$87.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $40.65	Professional		$38.54	$38.54	$40.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $44.84 / $50.49	Professional		$44.84	$44.84	$50.49