Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $93.33 / $112.20	Facility		$70.79	$93.33	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $213.80	Professional		$81.28	$107.15	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Professional		$125.89	$125.89	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $229.09	Professional		$83.18	$128.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $162.18	Professional		$89.13	$120.23	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $194.98	Facility		$83.18	$112.20	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $190.55	Professional		$81.28	$120.23	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $204.17	Professional		$114.82	$162.18	$204.17