Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.88 / $540.88 / $540.88	Facility		$540.88	$540.88	$540.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $182.65 / $351.74	Professional		$72.84	$182.65	$351.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $101.68 / $106.76	Professional		$89.20	$101.68	$106.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.17 / $131.96 / $335.55	Facility		$112.17	$131.96	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $160.13 / $290.70	Professional		$63.37	$160.13	$290.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $215.43 / $300.38	Professional		$177.96	$215.43	$300.38
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $192.11 / $365.75	Professional		$160.50	$192.11	$365.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $146.72 / $215.43	Professional		$73.39	$146.72	$215.43