Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $75.52 / $75.52	Facility		$75.52	$75.52	$75.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $81.81 / $104.44	Professional		$61.19	$81.81	$104.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $91.71 / $113.81	Professional		$82.53	$91.71	$113.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $102.53 / $102.53	Facility		$102.53	$102.53	$102.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $93.60 / $188.37	Professional		$62.50	$93.60	$188.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $108.85 / $154.13	Professional		$87.03	$108.85	$154.13
United Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $81.52 / $155.10	Professional		$58.28	$81.52	$155.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $100.08 / $124.05	Professional		$62.55	$100.08	$124.05