Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $169.82	Facility		$54.95	$81.28	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $316.23	Professional		$72.44	$91.20	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $107.15	Professional		$56.23	$87.10	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $239.88	Professional		$66.07	$107.15	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $165.96	Professional		$95.50	$109.65	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $190.55	Professional		$70.79	$93.33	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43