Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.38 / $124.38 / $124.38	Facility		$124.38	$124.38	$124.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $87.24 / $137.91	Professional		$72.20	$87.24	$137.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $120.62	Professional		$95.00	$95.00	$120.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $121.82	Facility		$121.82	$121.82	$121.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $121.82	Professional		$88.93	$88.93	$121.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $176.45 / $254.09	Professional		$123.52	$176.45	$254.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $88.03 / $140.31	Professional		$79.48	$88.03	$140.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $105.71 / $123.52	Professional		$105.71	$105.71	$123.52