Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $105.45 / $105.45	Facility		$105.45	$105.45	$105.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $115.22 / $279.89	Professional		$99.17	$115.22	$279.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $125.49 / $143.44	Professional		$97.85	$125.49	$143.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.21 / $108.21 / $108.21	Facility		$108.21	$108.21	$108.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $117.72 / $243.74	Professional		$87.57	$117.72	$243.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $139.35 / $213.11	Professional		$110.11	$139.35	$213.11
United Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $114.04 / $209.98	Professional		$80.70	$114.04	$209.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $129.03 / $166.98	Professional		$76.39	$129.03	$166.98