Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $74.00	Professional		$67.27	$67.27	$74.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.69 / $58.69 / $58.69	Professional		$58.69	$58.69	$58.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $85.68	Professional		$67.27	$67.27	$85.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $67.27 / $199.01	Professional		$57.18	$67.27	$199.01
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $70.97	Professional		$67.27	$67.27	$70.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $67.27 / $88.12	Professional		$66.31	$67.27	$88.12