Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $105.43 / $105.43	Facility		$102.99	$105.43	$105.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $101.94 / $178.05	Professional		$80.76	$101.94	$178.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $110.16 / $134.88	Professional		$110.16	$110.16	$134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $154.00	Facility		$112.67	$112.67	$154.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $112.67	Professional		$82.25	$82.25	$112.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.12 / $197.31 / $284.13	Professional		$138.12	$197.31	$284.13
United Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $98.44 / $156.91	Professional		$81.30	$98.44	$156.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $108.03 / $138.12	Professional		$75.00	$108.03	$138.12