Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $89.13	Facility		$64.57	$85.11	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $204.17	Professional		$57.54	$123.03	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $95.50	Professional		$56.23	$58.88	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $158.49	Professional		$61.66	$100.00	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $144.54	Professional		$61.66	$83.18	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $147.91	Professional		$58.88	$89.13	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $109.65	Professional		$72.44	$83.18	$109.65