Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.13	Professional		$71.55	$71.55	$75.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $88.55	Facility		$71.55	$71.55	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $91.13	Professional		$71.55	$71.55	$91.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $71.55 / $79.78	Professional		$60.82	$71.55	$79.78
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $75.13	Professional		$71.55	$71.55	$75.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $93.73	Professional		$37.60	$37.60	$93.73