Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Professional		$104.71	$104.71	$138.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Facility		$97.72	$97.72	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $112.20	Professional		$89.13	$104.71	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Facility		$104.71	$104.71	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $123.03	Professional		$102.33	$112.20	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $138.04	Professional		$97.72	$97.72	$138.04