Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $114.29 / $114.29	Facility		$114.29	$114.29	$114.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $122.85 / $813.66	Professional		$113.32	$122.85	$813.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $158.82 / $606.41	Professional		$158.82	$158.82	$606.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.27 / $669.27 / $669.27	Facility		$669.27	$669.27	$669.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $185.67 / $568.47	Professional		$102.43	$185.67	$568.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $170.64 / $312.27	Professional		$132.28	$170.64	$312.27
United Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $201.58 / $388.38	Professional		$123.60	$201.58	$388.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $143.03 / $188.93	Professional		$105.82	$143.03	$188.93