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 $131.83 / $169.82 / $478.63	Professional		$131.83	$169.82	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $213.80	Professional		$144.54	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Facility		$50.12	$50.12	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $380.19	Professional		$138.04	$190.55	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $338.84	Professional		$186.21	$208.93	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $134.90	Facility		$36.31	$40.74	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $316.23	Professional		$120.23	$173.78	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $269.15	Professional		$141.25	$213.80	$269.15