Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $108.03 / $108.03	Facility		$108.03	$108.03	$108.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $96.86 / $179.33	Professional		$95.90	$96.86	$179.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $108.04 / $108.04	Professional		$95.90	$108.04	$108.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.69 / $133.69 / $280.50	Facility		$133.69	$133.69	$280.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $122.14	Professional		$95.90	$95.90	$122.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $95.90 / $659.18	Professional		$81.52	$95.90	$659.18
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $107.41 / $175.95	Professional		$95.90	$107.41	$175.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.29 / $133.69 / $145.84	Professional		$110.29	$133.69	$145.84