Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $79.23 / $79.23	Facility		$79.23	$79.23	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $83.70	Professional		$76.09	$76.09	$83.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $177.58 / $177.58	Professional		$177.58	$177.58	$177.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $96.91	Professional		$76.09	$76.09	$96.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $76.09 / $300.31	Professional		$64.68	$76.09	$300.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $80.27	Professional		$76.09	$76.09	$80.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $99.68	Professional		$76.09	$76.09	$99.68