Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $263.03	Facility		$91.20	$194.98	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $524.81	Professional		$102.33	$162.18	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $123.03	Professional		$48.98	$100.00	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $288.40	Professional		$112.20	$158.49	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $251.19	Professional		$165.96	$186.21	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $93.33 / $165.96	Facility		$29.51	$93.33	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $288.40	Professional		$107.15	$165.96	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86