Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $100.72 / $100.72	Facility		$100.72	$100.72	$100.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $117.99	Professional		$101.72	$101.72	$117.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $129.54	Professional		$101.72	$101.72	$129.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $101.72 / $264.17	Professional		$81.38	$101.72	$264.17
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $107.31	Professional		$101.72	$101.72	$107.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $116.68 / $133.25	Professional		$116.68	$116.68	$133.25