Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $88.04	Professional		$80.04	$80.04	$88.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $88.23	Professional		$88.23	$88.23	$88.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $101.94	Professional		$80.04	$80.04	$101.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $80.04 / $530.28	Professional		$68.03	$80.04	$530.28
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $84.84	Professional		$80.04	$80.04	$84.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.85 / $624.34 / $624.34	Professional		$104.85	$624.34	$624.34