Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $75.45 / $75.45	Facility		$75.45	$75.45	$75.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $81.63 / $269.14	Professional		$71.31	$81.63	$269.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $89.79 / $120.21	Professional		$77.81	$89.79	$120.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $133.15 / $133.15	Facility		$133.15	$133.15	$133.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $102.02 / $187.07	Professional		$64.58	$102.02	$187.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $101.24 / $157.72	Professional		$84.37	$101.24	$157.72
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $89.07 / $145.07	Professional		$66.12	$89.07	$145.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $91.69 / $120.09	Professional		$67.50	$91.69	$120.09