Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $210.00 / $2,046.67	Facility		$75.00	$210.00	$2,046.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $175.24 / $638.69	Professional		$99.97	$175.24	$638.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $149.44 / $180.83	Professional		$131.36	$149.44	$180.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $94.15 / $94.15	Facility		$94.15	$94.15	$94.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $199.23 / $396.56	Professional		$118.13	$199.23	$396.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.34 / $239.09 / $398.45	Professional		$185.34	$239.09	$398.45
United Facility/Professional Professional Modifier Low / Median / High Price $141.52 / $202.96 / $347.72	Professional		$141.52	$202.96	$347.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.54 / $213.14 / $262.50	Professional		$154.54	$213.14	$262.50