Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $128.82	Facility		$75.86	$97.72	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $213.80	Professional		$70.79	$109.65	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $104.71	Professional		$51.29	$63.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $194.98	Professional		$85.11	$123.03	$194.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $181.97	Professional		$91.20	$125.89	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $120.23	Facility		$70.79	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $194.98	Professional		$83.18	$120.23	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $169.82	Professional		$89.13	$117.49	$169.82