Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $82.37 / $82.37	Facility		$82.37	$82.37	$82.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $110.38	Professional		$69.73	$69.73	$110.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $86.25 / $100.26	Professional		$56.65	$86.25	$100.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $95.63 / $95.63	Facility		$69.73	$95.63	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $69.73 / $147.97	Professional		$66.23	$69.73	$147.97
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $76.68	Professional		$27.89	$69.73	$76.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $79.39 / $82.37	Professional		$68.37	$79.39	$82.37