Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.56 / $176.56 / $176.56	Facility		$176.56	$176.56	$176.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $119.36 / $251.28	Professional		$62.77	$119.36	$251.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $101.31	Professional		$68.86	$68.86	$101.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $129.27 / $599.00	Facility		$109.65	$129.27	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $148.93 / $296.55	Professional		$66.70	$148.93	$296.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.94 / $205.01 / $298.19	Professional		$128.94	$205.01	$298.19
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $167.13 / $298.26	Professional		$116.09	$167.13	$298.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $197.71 / $243.50	Professional		$103.01	$197.71	$243.50