Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $58.30	Professional		$53.00	$53.00	$58.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $159.25 / $159.25	Professional		$159.25	$159.25	$159.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $67.50	Professional		$53.00	$53.00	$67.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $53.00 / $1,058.02	Professional		$45.05	$53.00	$1,058.02
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $67.44	Professional		$53.00	$53.00	$67.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $69.43	Professional		$53.00	$53.00	$69.43