Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.91 / $92.91 / $92.91	Facility		$92.91	$92.91	$92.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $99.91 / $253.17	Professional		$92.91	$99.91	$253.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $106.30 / $123.35	Professional		$106.30	$106.30	$123.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $122.29 / $288.14	Professional		$85.87	$122.29	$288.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $144.69 / $206.67	Professional		$106.56	$144.69	$206.67
United Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $108.99 / $240.94	Professional		$75.08	$108.99	$240.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $129.00 / $161.01	Professional		$89.74	$129.00	$161.01