Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.52 / $96.52 / $96.52	Facility		$96.52	$96.52	$96.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $104.70 / $142.18	Professional		$94.48	$104.70	$142.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $141.25 / $203.24	Professional		$140.35	$141.25	$203.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $137.13 / $302.45	Professional		$87.87	$137.13	$302.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.92 / $146.54 / $247.52	Professional		$107.92	$146.54	$247.52
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.16 / $288.07	Professional		$100.00	$138.16	$288.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.88 / $113.60 / $160.88	Professional		$90.88	$113.60	$160.88