Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $73.86 / $73.86	Facility		$73.86	$73.86	$73.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $198.58 / $252.58	Professional		$43.56	$198.58	$252.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $42.92 / $58.72	Professional		$42.92	$42.92	$58.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.49 / $352.49 / $352.49	Facility		$352.49	$352.49	$352.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $168.71 / $392.54	Professional		$44.10	$168.71	$392.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $253.89 / $388.23	Professional		$63.04	$253.89	$388.23
United Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $203.89 / $391.93	Professional		$134.69	$203.89	$391.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $171.88 / $304.83	Professional		$47.30	$171.88	$304.83