Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Facility		$66.34	$66.34	$66.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $72.47	Professional		$65.88	$65.88	$72.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $151.72	Professional		$151.72	$151.72	$151.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $153.00	Facility		$65.88	$65.88	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $83.91	Professional		$65.88	$65.88	$83.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $65.88 / $161.97	Professional		$56.00	$65.88	$161.97
United Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $72.45	Professional		$65.88	$65.88	$72.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $86.30	Professional		$65.88	$65.88	$86.30