Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $73.98 / $73.98	Facility		$53.81	$73.98	$73.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $79.39 / $99.28	Professional		$71.37	$79.39	$99.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $168.73 / $192.86	Professional		$151.86	$168.73	$192.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $186.27 / $186.27	Facility		$186.27	$186.27	$186.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $104.93 / $202.26	Professional		$65.95	$104.93	$202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $104.16 / $189.51	Professional		$85.46	$104.16	$189.51
United Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $165.92 / $269.08	Professional		$121.02	$165.92	$269.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $119.28 / $119.28	Professional		$119.28	$119.28	$119.28