Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.67 / $510.67 / $510.67	Facility		$510.67	$510.67	$510.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $118.03 / $195.42	Professional		$43.37	$118.03	$195.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $49.14 / $87.74	Professional		$41.88	$49.14	$87.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $117.86 / $249.94	Professional		$38.69	$117.86	$249.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $155.37 / $268.80	Professional		$90.33	$155.37	$268.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $146.80 / $238.54	Professional		$104.82	$146.80	$238.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $120.44 / $170.09	Professional		$120.44	$120.44	$170.09