Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $91.12 / $91.12	Facility		$91.12	$91.12	$91.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $96.20 / $129.41	Professional		$91.12	$96.20	$129.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $159.11 / $209.07	Professional		$159.11	$159.11	$209.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $142.97 / $358.00	Professional		$82.11	$142.97	$358.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $137.69 / $227.27	Professional		$106.74	$137.69	$227.27
United Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $159.72 / $354.36	Professional		$96.82	$159.72	$354.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $43.85 / $43.85	Professional		$43.85	$43.85	$43.85