Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $512.86	Professional		$123.03	$169.82	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $218.78	Professional		$79.43	$162.18	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $691.83	Facility		$229.09	$229.09	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $616.60	Professional		$117.49	$204.17	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $288.40	Professional		$165.96	$186.21	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $169.82 / $467.74	Facility		$53.70	$169.82	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $457.09	Professional		$138.04	$223.87	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $239.88	Professional		$151.36	$190.55	$239.88