Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $363.08	Professional		$123.03	$190.55	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $208.93	Professional		$131.83	$144.54	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $630.96	Facility		$213.80	$380.19	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $371.54	Professional		$125.89	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $331.13	Professional		$158.49	$245.47	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $602.56	Facility		$75.86	$112.20	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $338.84	Professional		$117.49	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $331.13	Professional		$151.36	$263.03	$331.13