Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.48 / $238.48 / $238.48	Facility		$238.48	$238.48	$238.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $153.79 / $390.39	Professional		$131.69	$153.79	$390.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $165.65 / $182.22	Professional		$143.11	$165.65	$182.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $103.83	Facility		$50.00	$50.00	$103.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $204.98 / $376.05	Professional		$139.94	$204.98	$376.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $228.07 / $304.77	Professional		$176.80	$228.07	$304.77
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $180.75 / $323.58	Professional		$123.45	$180.75	$323.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $203.32 / $251.76	Professional		$141.68	$203.32	$251.76