Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $77.80 / $77.80	Facility		$77.80	$77.80	$77.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $84.87 / $167.15	Professional		$72.87	$84.87	$167.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $91.59 / $111.82	Professional		$77.38	$91.59	$111.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $54.69 / $54.69	Facility		$54.69	$54.69	$54.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $84.92 / $187.07	Professional		$56.77	$84.92	$187.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $99.82 / $155.66	Professional		$73.73	$99.82	$155.66
United Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $79.88 / $147.00	Professional		$47.06	$79.88	$147.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $94.97 / $123.12	Professional		$55.94	$94.97	$123.12