Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $707.95	Professional		$190.55	$288.40	$707.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $204.17 / $323.59 / $616.60	Professional	54	$204.17	$323.59	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $251.19 / $309.03	Professional		$218.78	$251.19	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $123.03	Facility		$50.12	$50.12	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $512.86	Professional		$194.98	$269.15	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $457.09	Professional		$251.19	$288.40	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $194.98	Facility		$36.31	$40.74	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $436.52	Professional		$165.96	$234.42	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $354.81	Professional		$194.98	$288.40	$354.81