Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $41.29 / $124.51	Facility		$14.26	$41.29	$124.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $68.18 / $221.22	Professional		$40.14	$68.18	$221.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.36	Professional		$80.00	$80.00	$102.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $86.64	Professional		$63.25	$63.25	$86.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $149.74 / $215.63	Professional		$104.82	$149.74	$215.63
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $74.70 / $119.07	Professional		$52.71	$74.70	$119.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $83.20 / $104.82	Professional		$83.20	$83.20	$104.82