Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $107.92 / $107.92	Facility		$107.92	$107.92	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $113.61	Professional		$97.94	$97.94	$113.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $105.06 / $105.06	Professional		$105.06	$105.06	$105.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $124.73	Professional		$97.94	$97.94	$124.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $97.94 / $190.68	Professional		$83.25	$97.94	$190.68
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $103.82	Professional		$97.94	$97.94	$103.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.79 / $102.79 / $128.30	Professional		$102.79	$102.79	$128.30