Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $47.81	Facility		$47.81	$47.81	$47.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $106.76 / $168.17	Professional		$76.30	$106.76	$168.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $124.04 / $127.44	Professional		$124.04	$124.04	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $120.81	Professional		$88.19	$88.19	$120.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $186.43 / $268.45	Professional		$130.50	$186.43	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $94.85 / $148.26	Professional		$73.45	$94.85	$148.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $103.03 / $130.50	Professional		$93.18	$103.03	$130.50