Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.93 / $129.93 / $129.93	Facility		$129.93	$129.93	$129.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $138.52 / $897.38	Professional		$128.69	$138.52	$897.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.14 / $195.60 / $625.36	Professional		$181.14	$195.60	$625.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $690.24 / $690.24	Facility		$690.24	$690.24	$690.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.55 / $218.86 / $586.62	Professional		$118.55	$218.86	$586.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $197.14 / $327.52	Professional		$152.82	$197.14	$327.52
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $220.89 / $436.09	Professional		$138.91	$220.89	$436.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.26 / $163.76 / $217.19	Professional		$122.26	$163.76	$217.19