Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $87.06 / $201.70	Facility		$68.20	$87.06	$201.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $123.00 / $124.85	Professional		$69.00	$123.00	$124.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $70.00 / $92.52	Professional		$61.23	$70.00	$92.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $65.73 / $129.41	Facility		$41.74	$65.73	$129.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $79.61 / $262.69	Professional		$41.74	$79.61	$262.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.00 / $150.00	Professional		$100.00	$125.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.63 / $45.00 / $76.00	Professional		$36.63	$45.00	$76.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $50.00 / $79.50	Professional		$39.00	$50.00	$79.50