Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $133.07 / $154.47	Facility		$115.86	$133.07	$154.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $122.53 / $164.14	Professional		$97.49	$122.53	$164.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $128.06 / $156.22	Professional		$115.25	$128.06	$156.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $141.13 / $257.45	Professional		$102.49	$141.13	$257.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $128.27 / $175.29	Professional		$90.02	$128.27	$175.29
United Facility/Professional Professional Modifier Low / Median / High Price $104.56 / $127.56 / $260.23	Professional		$104.56	$127.56	$260.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $153.44 / $192.90	Professional		$115.68	$153.44	$192.90