Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.13 / $136.94 / $1,356.06	Facility		$110.13	$136.94	$1,356.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $118.46 / $167.51	Professional		$88.20	$118.46	$167.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $117.44 / $143.28	Professional		$105.70	$117.44	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $134.00 / $203.86	Professional		$100.10	$134.00	$203.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $115.38 / $174.08	Professional		$83.51	$115.38	$174.08
United Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $143.13 / $252.07	Professional		$106.63	$143.13	$252.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $150.52 / $190.07	Professional		$111.63	$150.52	$190.07