Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $457.09	Professional		$112.20	$147.91	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $309.03	Professional		$87.10	$144.54	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $676.08	Facility		$199.53	$199.53	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $602.56	Professional		$102.33	$177.83	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $251.19	Professional		$131.83	$151.36	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $154.88 / $467.74	Facility		$43.65	$154.88	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $446.68	Professional		$123.03	$194.98	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $208.93	Professional		$131.83	$151.36	$208.93