Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.59 / $86.59 / $86.59	Facility		$86.59	$86.59	$86.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $94.48 / $225.66	Professional		$81.44	$94.48	$225.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.68 / $103.53 / $118.34	Professional		$88.68	$103.53	$118.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $77.31 / $77.31	Facility		$77.31	$77.31	$77.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $95.38 / $200.33	Professional		$70.25	$95.38	$200.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $114.03 / $174.85	Professional		$93.53	$114.03	$174.85
United Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $94.14 / $164.71	Professional		$66.01	$94.14	$164.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $108.60 / $140.87	Professional		$64.66	$108.60	$140.87