Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $143.40 / $143.40	Facility		$143.40	$143.40	$143.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $153.97 / $192.49	Professional		$138.63	$153.97	$192.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $177.56 / $202.95	Professional		$159.80	$177.56	$202.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.89 / $195.89 / $195.89	Facility		$195.89	$195.89	$195.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $197.20 / $376.98	Professional		$128.19	$197.20	$376.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $200.17 / $284.60	Professional		$166.28	$200.17	$284.60
United Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $159.22 / $275.10	Professional		$120.30	$159.22	$275.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Professional		$51.00	$51.00	$51.00