Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $93.18 / $93.18	Facility		$93.18	$93.18	$93.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $97.14 / $159.44	Professional		$93.18	$97.14	$159.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $173.00	Professional		$116.11	$116.11	$173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $130.00 / $289.14	Professional		$86.16	$130.00	$289.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $143.94 / $212.38	Professional		$111.59	$143.94	$212.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $119.46 / $249.92	Professional		$81.40	$119.46	$249.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $128.33 / $161.02	Professional		$89.27	$128.33	$161.02