Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $85.38 / $144.47	Facility		$85.38	$85.38	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $91.67 / $128.44	Professional		$90.44	$91.67	$128.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $134.44 / $153.26	Professional		$122.22	$134.44	$153.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $90.39 / $300.19	Professional		$66.92	$90.39	$300.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $146.66 / $183.33	Professional		$122.22	$146.66	$183.33
United Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $51.33 / $51.33	Facility		$51.33	$51.33	$51.33
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $63.55 / $111.22	Professional		$51.33	$63.55	$111.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $119.96 / $119.96	Professional		$61.11	$119.96	$119.96