Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $243.94 / $486.04	Facility		$77.68	$243.94	$486.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $96.12 / $281.50	Professional		$77.68	$96.12	$281.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $105.58 / $127.73	Professional		$95.03	$105.58	$127.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.69 / $318.69 / $318.69	Facility		$318.69	$318.69	$318.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $108.87 / $211.03	Professional		$69.27	$108.87	$211.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $114.42 / $208.03	Professional		$88.70	$114.42	$208.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $106.89 / $212.36	Professional		$75.72	$106.89	$212.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $102.01 / $127.43	Professional		$76.81	$102.01	$127.43