Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $87.56 / $116.75	Facility		$58.00	$87.56	$116.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $89.71 / $132.25	Professional		$69.95	$89.71	$132.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $110.87 / $138.59	Professional		$110.87	$110.87	$138.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $98.00 / $162.00	Professional		$70.00	$98.00	$162.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $101.52 / $137.52	Professional		$68.69	$101.52	$137.52
United Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $88.21 / $117.61	Facility		$88.21	$88.21	$117.61
United Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $99.97 / $162.18	Professional		$70.53	$99.97	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $117.15 / $149.72	Professional		$100.83	$117.15	$149.72