Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $76.68	Facility		$76.68	$76.68	$76.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $95.57 / $162.19	Professional		$94.30	$95.57	$162.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $140.16 / $179.42	Professional		$127.43	$140.16	$179.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $90.70 / $313.07	Professional		$69.75	$90.70	$313.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $152.91 / $213.86	Professional		$127.43	$152.91	$213.86
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $63.81 / $115.96	Professional		$56.07	$63.81	$115.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $109.30 / $109.30	Professional		$63.72	$109.30	$109.30