Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.81 / $106.81 / $106.81	Facility		$106.81	$106.81	$106.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $114.96 / $483.71	Professional		$97.88	$114.96	$483.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $136.10 / $234.59	Professional		$133.94	$136.10	$234.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.77 / $260.77 / $260.77	Facility		$260.77	$260.77	$260.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $142.75 / $281.49	Professional		$85.96	$142.75	$281.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $141.32 / $217.87	Professional		$109.55	$141.32	$217.87
United Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $142.41 / $244.14	Professional		$99.58	$142.41	$244.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $118.60 / $154.18	Professional		$87.64	$118.60	$154.18