Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.79 / $103.45 / $103.45	Facility		$98.79	$103.45	$103.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $110.16 / $139.56	Professional		$97.33	$110.16	$139.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $139.47 / $191.07	Professional		$125.52	$139.47	$191.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $130.49 / $130.49	Facility		$130.49	$130.49	$130.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $136.24 / $271.87	Professional		$92.89	$136.24	$271.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $144.41 / $209.85	Professional		$114.33	$144.41	$209.85
United Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $129.07 / $253.96	Professional		$103.07	$129.07	$253.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00