Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $91.90	Facility		$91.90	$91.90	$91.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $99.82 / $135.44	Professional		$89.64	$99.82	$135.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $133.41 / $165.32	Professional		$133.37	$133.41	$165.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $130.28 / $289.08	Professional		$83.69	$130.28	$289.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.78 / $138.52 / $235.98	Professional		$102.78	$138.52	$235.98
United Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $123.82 / $327.51	Professional		$94.04	$123.82	$327.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $108.19 / $153.38	Professional		$86.55	$108.19	$153.38