Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.32	Professional		$106.97	$106.97	$112.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $99.16 / $99.16	Professional		$99.16	$99.16	$99.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $136.22	Professional		$106.97	$106.97	$136.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $105.08 / $116.76	Professional		$90.92	$105.08	$116.76
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $112.32	Professional		$106.97	$106.97	$112.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $37.97 / $140.13	Professional		$37.97	$37.97	$140.13