Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $75.34	Professional		$68.48	$68.48	$75.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Professional		$32.03	$32.03	$32.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $68.48	Facility		$51.00	$51.00	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $87.22	Professional		$68.48	$68.48	$87.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $58.22 / $68.48	Professional		$56.39	$58.22	$68.48
United Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.48 / $71.91	Professional		$68.45	$68.48	$71.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $89.72	Professional		$68.48	$68.48	$89.72