Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $62.15	Facility		$62.15	$62.15	$62.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $61.80 / $75.31	Professional		$61.79	$61.80	$75.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $62.16	Professional		$61.80	$61.80	$62.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $74.62	Professional		$61.80	$61.80	$74.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $251.41	Professional		$61.80	$61.80	$251.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $89.48	Professional		$61.80	$61.80	$89.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $169.20 / $169.20	Professional		$169.20	$169.20	$169.20