Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $467.74	Facility		$181.97	$323.59	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $588.84	Professional		$131.83	$234.42	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $165.96 / $190.55	Professional		$147.91	$165.96	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $575.44	Professional		$144.54	$234.42	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $354.81	Professional		$158.49	$263.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $323.59	Facility		$114.82	$128.82	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $363.08	Professional		$120.23	$204.17	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $363.08	Professional		$158.49	$302.00	$363.08