Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $323.59	Professional		$87.10	$123.03	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $169.82	Professional		$56.23	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $263.03	Facility		$165.96	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $281.84	Professional		$85.11	$134.90	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $165.96	Professional		$107.15	$125.89	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $95.50 / $186.21	Facility		$32.36	$95.50	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $173.78	Professional		$97.72	$125.89	$173.78