Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $67.72 / $67.72	Facility		$67.72	$67.72	$67.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $96.12	Professional		$91.54	$91.54	$96.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Professional		$65.88	$65.88	$65.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $116.58	Professional		$91.54	$91.54	$116.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $91.54 / $190.68	Professional		$77.81	$91.54	$190.68
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $116.48	Professional		$91.54	$91.54	$116.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $91.54 / $119.92	Professional		$67.72	$91.54	$119.92