Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $173.78	Professional		$109.65	$128.82	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $141.25	Professional		$112.20	$125.89	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $234.42	Professional		$158.49	$181.97	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $120.23	Facility		$66.07	$66.07	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $125.89	Professional		$66.07	$70.79	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62