Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $99.62 / $99.62	Facility		$99.62	$99.62	$99.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $108.27 / $191.34	Professional		$91.19	$108.27	$191.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $118.86 / $135.86	Professional		$107.21	$118.86	$135.86
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 $79.39 / $121.22 / $238.44	Professional		$79.39	$121.22	$238.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $119.85 / $207.39	Professional		$101.80	$119.85	$207.39
United Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $114.76 / $210.10	Professional		$78.50	$114.76	$210.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $110.97 / $144.72	Professional		$79.12	$110.97	$144.72