Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $346.74	Professional		$91.20	$173.78	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $134.90	Professional		$104.71	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $288.40	Professional		$85.11	$123.03	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $181.97	Professional		$102.33	$123.03	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $151.36	Facility		$67.61	$91.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $190.55	Professional		$75.86	$109.65	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $169.82	Professional		$89.13	$154.88	$169.82