Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Facility		$75.86	$75.86	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $123.03	Professional		$72.44	$89.13	$123.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $125.89	Professional		$89.13	$97.72	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $229.09	Professional		$75.86	$109.65	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $128.82	Professional		$72.44	$95.50	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $158.49	Facility		$67.61	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $173.78	Professional		$66.07	$97.72	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $165.96	Professional		$63.10	$128.82	$165.96