Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.15 / $98.18 / $115.50	Facility		$87.15	$98.18	$115.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $82.56 / $126.29	Professional		$61.01	$82.56	$126.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $95.74 / $116.80	Professional		$95.74	$95.74	$116.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $97.00 / $161.05	Professional		$59.00	$97.00	$161.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $88.40 / $128.24	Professional		$62.67	$88.40	$128.24
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $88.11 / $144.10	Professional		$53.70	$88.11	$144.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $110.88 / $140.41	Professional		$87.91	$110.88	$140.41