Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $68.48 / $100.25	Professional		$60.43	$68.48	$100.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $95.13 / $103.69	Professional		$87.64	$95.13	$103.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $93.83 / $208.96	Professional		$57.67	$93.83	$208.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $94.97 / $152.51	Professional		$70.83	$94.97	$152.51
United Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $80.34 / $170.80	Professional		$61.93	$80.34	$170.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $74.56 / $105.35	Professional		$59.65	$74.56	$105.35