Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $128.82	Facility		$85.11	$109.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $165.96	Professional		$144.54	$144.54	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $302.00	Professional		$107.15	$158.49	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $234.42	Facility		$100.00	$134.90	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $229.09	Professional		$95.50	$141.25	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $245.47	Professional		$138.04	$190.55	$245.47