Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $489.78	Professional		$91.20	$128.82	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $123.03 / $169.82	Professional		$25.12	$123.03	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $269.15	Professional		$87.10	$138.04	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $234.42	Professional		$112.20	$138.04	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $131.83 / $194.98	Facility		$22.39	$131.83	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $251.19	Professional		$100.00	$138.04	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $177.83	Professional		$114.82	$134.90	$177.83