Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.70 / $426.70 / $426.70	Facility		$426.70	$426.70	$426.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $61.01 / $325.79	Professional		$56.71	$61.01	$325.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $69.00 / $163.27	Professional		$66.84	$69.00	$163.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $451.23	Facility		$330.00	$330.00	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $104.83 / $206.73	Professional		$59.09	$104.83	$206.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $86.18 / $134.88	Professional		$66.04	$86.18	$134.88
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $88.60 / $158.10	Professional		$53.43	$88.60	$158.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $76.83 / $95.55	Professional		$66.11	$76.83	$95.55