Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.47 / $109.47 / $109.47	Facility		$109.47	$109.47	$109.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $118.86 / $178.72	Professional		$106.52	$118.86	$178.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $168.04 / $183.16	Professional		$156.63	$168.04	$183.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $166.54 / $373.20	Professional		$100.07	$166.54	$373.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $166.89 / $263.95	Professional		$122.90	$166.89	$263.95
United Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $198.09 / $236.94	Facility		$38.85	$198.09	$236.94
United Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $140.80 / $234.38	Professional		$107.76	$140.80	$234.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $129.37 / $183.44	Professional		$103.50	$129.37	$183.44