Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.46 / $57.46 / $91.10	Facility		$57.46	$57.46	$91.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $100.56 / $272.76	Professional		$44.53	$100.56	$272.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $55.58 / $63.53	Professional		$41.36	$55.58	$63.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.17 / $66.17 / $66.17	Facility		$66.17	$66.17	$66.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $101.15 / $202.49	Professional		$46.53	$101.15	$202.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $126.57 / $223.94	Professional		$97.76	$126.57	$223.94
United Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $131.36 / $248.40	Professional		$87.14	$131.36	$248.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $112.42 / $139.19	Professional		$94.00	$112.42	$139.19