Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $102.95 / $152.44	Facility		$102.95	$102.95	$152.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $85.34 / $128.69	Professional		$51.87	$85.34	$128.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $96.83 / $153.22	Professional		$93.11	$96.83	$153.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $109.32 / $216.94	Professional		$58.29	$109.32	$216.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $119.14 / $185.52	Professional		$76.56	$119.14	$185.52
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $94.98 / $163.94	Professional		$71.98	$94.98	$163.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $160.41 / $200.01	Professional		$112.36	$160.41	$200.01