Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $75.87	Professional		$65.41	$65.41	$75.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $39.33	Professional		$39.33	$39.33	$39.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $80.70	Facility		$65.40	$65.40	$80.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $83.30	Professional		$65.40	$65.40	$83.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $65.41 / $85.28	Professional		$52.33	$65.41	$85.28
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $69.01	Professional		$65.41	$65.41	$69.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $85.69	Professional		$65.41	$65.41	$85.69