Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $489.78	Professional		$74.13	$158.49	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $114.82	Professional		$89.13	$97.72	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $223.87	Professional		$79.43	$131.83	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $302.00	Professional		$128.82	$169.82	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $229.09	Professional		$77.62	$128.82	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $239.88	Professional		$83.18	$154.88	$239.88