Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $144.54	Facility		$85.11	$85.11	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $199.53	Professional		$91.20	$112.20	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $125.89	Professional		$100.00	$109.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $223.87	Professional		$67.61	$87.10	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $181.97	Professional		$123.03	$141.25	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $93.33	Facility		$51.29	$51.29	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $109.65	Professional		$51.29	$63.10	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $120.23	Professional		$61.66	$120.23	$120.23