Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $109.65	Professional		$32.36	$46.77	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $48.98	Professional		$33.11	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $107.15	Professional		$33.11	$46.77	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $66.07	Professional		$31.62	$36.31	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $69.18	Professional		$30.20	$42.66	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $47.86	Professional		$27.54	$40.74	$47.86