Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $321.20 / $480.93	Facility		$285.00	$321.20	$480.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $134.44 / $229.82	Professional		$29.82	$134.44	$229.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $33.84 / $38.68	Professional		$33.84	$33.84	$38.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.38 / $137.38 / $137.38	Facility		$137.38	$137.38	$137.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $92.11 / $292.11	Professional		$30.33	$92.11	$292.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $166.63 / $263.41	Professional		$42.34	$166.63	$263.41
United Facility/Professional Professional Modifier Low / Median / High Price $139.28 / $184.80 / $347.64	Professional		$139.28	$184.80	$347.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $132.18 / $196.92	Professional		$31.57	$132.18	$196.92