Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $87.51 / $152.63	Facility		$17.98	$87.51	$152.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $77.89 / $123.14	Professional		$64.47	$77.89	$123.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $115.38	Professional		$84.23	$84.23	$115.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.27 / $157.53 / $226.84	Professional		$110.27	$157.53	$226.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $78.59 / $125.28	Professional		$64.48	$78.59	$125.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $85.69 / $110.27	Professional		$30.00	$85.69	$110.27