Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.21 / $517.21 / $517.21	Facility		$517.21	$517.21	$517.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $96.49 / $395.00	Professional		$75.76	$96.49	$395.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $87.15 / $99.62	Professional		$65.45	$87.15	$99.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $48.43 / $48.43	Facility		$48.43	$48.43	$48.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $115.40 / $239.07	Professional		$77.25	$115.40	$239.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $127.08 / $199.25	Professional		$95.55	$127.08	$199.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $109.86 / $190.12	Professional		$78.40	$109.86	$190.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $109.88 / $135.99	Professional		$72.04	$109.88	$135.99