Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Facility		$85.11	$85.11	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $87.10	Professional		$58.88	$70.79	$87.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $100.00	Professional		$74.13	$81.28	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $173.78	Professional		$64.57	$95.50	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $109.65	Professional		$52.48	$74.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $128.82	Facility		$69.18	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $158.49	Professional		$61.66	$95.50	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $144.54	Professional		$93.33	$128.82	$144.54