Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.13 / $102.13 / $102.13	Facility		$102.13	$102.13	$102.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $107.67 / $151.87	Professional		$102.13	$107.67	$151.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.33 / $169.30 / $239.00	Professional		$143.33	$169.30	$239.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $176.39 / $306.95	Professional		$91.81	$176.39	$306.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $154.35 / $264.86	Professional		$119.65	$154.35	$264.86
United Facility/Professional Facility Modifier Low / Median / High Price $71.08 / $127.37 / $198.45	Facility		$71.08	$127.37	$198.45
United Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $157.81 / $237.96	Professional		$106.30	$157.81	$237.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $137.60 / $165.61	Professional		$119.65	$137.60	$165.61