Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $107.12 / $107.12	Facility		$107.12	$107.12	$107.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $117.85 / $150.12	Professional		$101.93	$117.85	$150.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $109.48 / $177.42	Professional		$109.48	$109.48	$177.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.96 / $122.96 / $122.96	Facility		$122.96	$122.96	$122.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $112.66 / $211.77	Professional		$74.17	$112.66	$211.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $123.70 / $212.86	Professional		$95.89	$123.70	$212.86
United Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $159.03 / $304.80	Professional		$80.68	$159.03	$304.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $135.12 / $184.26	Professional		$78.36	$135.12	$184.26