Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.94 / $213.94 / $213.94	Facility		$213.94	$213.94	$213.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.57 / $235.33 / $278.23	Professional		$192.57	$235.33	$278.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $96.94 / $291.83	Professional		$96.94	$96.94	$291.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.67 / $107.67 / $137.38	Facility		$107.67	$107.67	$137.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $99.46 / $187.42	Professional		$65.55	$99.46	$187.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $109.31 / $223.79	Professional		$84.74	$109.31	$223.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $245.35 / $429.70	Professional		$70.61	$245.35	$429.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $279.38 / $380.97	Professional		$75.31	$279.38	$380.97