Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.20 / $119.20 / $119.20	Facility		$119.20	$119.20	$119.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $123.14 / $160.47	Professional		$102.03	$123.14	$160.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.32 / $154.32 / $211.42	Professional		$154.32	$154.32	$211.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $152.91 / $310.31	Professional		$106.77	$152.91	$310.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $167.37 / $240.34	Professional		$131.09	$167.37	$240.34
United Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $133.10 / $239.65	Professional		$108.95	$133.10	$239.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $53.37 / $53.37	Professional		$53.37	$53.37	$53.37