Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $96.77	Professional		$87.98	$87.98	$96.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $155.01 / $155.01	Professional		$155.01	$155.01	$155.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $112.05	Professional		$87.98	$87.98	$112.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $87.98 / $112.01	Professional		$74.78	$87.98	$112.01
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $92.82	Professional		$87.98	$87.98	$92.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $87.98 / $115.25	Professional		$80.48	$87.98	$115.25