Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Facility		$73.98	$73.98	$73.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $102.96 / $299.04	Professional		$32.57	$102.96	$299.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $33.88 / $46.45	Professional		$29.92	$33.88	$46.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $90.73 / $90.73	Facility		$90.73	$90.73	$90.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $95.99 / $211.71	Professional		$31.68	$95.99	$211.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $135.02 / $239.05	Professional		$88.97	$135.02	$239.05
United Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $126.38 / $235.98	Professional		$89.47	$126.38	$235.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.71 / $120.37 / $148.25	Professional		$85.71	$120.37	$148.25