Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.86 / $232.12 / $870.40	Facility		$131.86	$232.12	$870.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.13 / $186.30 / $519.89	Professional		$100.13	$186.30	$519.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $103.11 / $143.84	Professional		$92.80	$103.11	$143.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $132.00 / $132.00	Facility		$132.00	$132.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $182.43 / $348.36	Professional		$96.55	$182.43	$348.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $225.87 / $398.39	Professional		$163.89	$225.87	$398.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $191.89 / $325.04	Professional		$126.72	$191.89	$325.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $201.35 / $248.48	Professional		$152.30	$201.35	$248.48