Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $217.82 / $217.82	Facility		$217.82	$217.82	$217.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $217.82 / $270.39	Professional		$157.53	$217.82	$270.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $112.05 / $306.29	Professional		$109.93	$112.05	$306.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $109.23	Facility		$109.23	$109.23	$109.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $111.39 / $223.58	Professional		$78.37	$111.39	$223.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $125.74 / $211.28	Professional		$96.02	$125.74	$211.28
United Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $241.23 / $472.21	Professional		$89.74	$241.23	$472.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $315.52 / $387.39	Professional		$86.08	$315.52	$387.39