Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $147.97 / $147.97	Facility		$147.97	$147.97	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $82.35 / $187.54	Professional		$58.70	$82.35	$187.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $74.03 / $85.13	Professional		$66.62	$74.03	$85.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $96.45 / $163.36	Professional		$66.98	$96.45	$163.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $122.54 / $196.30	Professional		$103.25	$122.54	$196.30
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $150.00 / $150.00	Facility		$128.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $94.85 / $170.86	Professional		$73.84	$94.85	$170.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $78.23 / $119.08	Professional		$75.37	$78.23	$119.08