Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.47 / $442.47 / $442.47	Facility		$442.47	$442.47	$442.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $113.39 / $294.26	Professional		$71.39	$113.39	$294.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $104.26 / $119.16	Professional		$89.16	$104.26	$119.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.23 / $69.23 / $69.23	Facility		$69.23	$69.23	$69.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $140.40 / $273.38	Professional		$81.61	$140.40	$273.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $168.27 / $280.58	Professional		$130.44	$168.27	$280.58
United Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $135.47 / $241.52	Professional		$100.14	$135.47	$241.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $150.01 / $185.06	Professional		$108.70	$150.01	$185.06