Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $173.78	Professional		$63.10	$81.28	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $104.71	Professional		$33.11	$85.11	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $131.83	Facility		$102.33	$102.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $177.83	Professional		$63.10	$93.33	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $138.04	Professional		$85.11	$107.15	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $77.62	Facility		$18.62	$33.11	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $158.49	Professional		$58.88	$83.18	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $134.90	Professional		$63.10	$114.82	$134.90