Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $107.92	Professional		$98.11	$98.11	$107.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.56 / $215.56 / $215.56	Professional		$215.56	$215.56	$215.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $124.95	Professional		$98.11	$98.11	$124.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $98.11 / $139.44	Professional		$83.39	$98.11	$139.44
United Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $103.06	Professional		$98.11	$98.11	$103.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $93.57 / $128.52	Professional		$93.57	$93.57	$128.52