Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $96.13 / $96.13	Facility		$96.13	$96.13	$96.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $103.99 / $669.91	Professional		$94.30	$103.99	$669.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $146.53 / $186.09	Professional		$131.88	$146.53	$186.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $87.60	Facility		$87.60	$87.60	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.78 / $139.01 / $306.54	Professional		$83.78	$139.01	$306.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $139.66 / $203.82	Professional		$111.76	$139.66	$203.82
United Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $130.55 / $216.79	Professional		$84.29	$130.55	$216.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $121.44 / $158.97	Professional		$89.41	$121.44	$158.97