Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $77.62 / $91.20	Facility		$69.18	$77.62	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $186.21	Professional		$58.88	$87.10	$186.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $154.88	Professional		$69.18	$75.86	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $158.49	Professional		$69.18	$104.71	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $123.03	Professional		$66.07	$89.13	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $147.91	Professional		$56.23	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $123.03	Professional		$77.62	$95.50	$123.03