Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $135.59 / $135.59	Facility		$135.59	$135.59	$135.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $146.22 / $944.32	Professional		$133.38	$146.22	$944.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $179.59 / $858.13	Professional		$161.63	$179.59	$858.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.99 / $101.99 / $669.27	Facility		$101.99	$101.99	$669.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.69 / $228.09 / $566.60	Professional		$123.69	$228.09	$566.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $206.27 / $346.96	Professional		$159.90	$206.27	$346.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $215.36 / $446.23	Professional		$138.79	$215.36	$446.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $173.48 / $227.85	Professional		$127.92	$173.48	$227.85