Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.11	Facility		$93.11	$93.11	$93.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $93.88	Professional		$89.41	$89.41	$93.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Professional		$191.25	$191.25	$191.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $113.87	Professional		$89.41	$89.41	$113.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $89.41 / $202.60	Professional		$76.00	$89.41	$202.60
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $98.02	Professional		$89.41	$89.41	$98.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $117.13	Professional		$89.41	$89.41	$117.13