Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.41 / $220.41 / $220.41	Facility		$220.41	$220.41	$220.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $175.50 / $191.88	Professional		$82.93	$175.50	$191.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $187.20 / $213.41	Professional		$168.48	$187.20	$213.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.02 / $166.29 / $676.28	Professional		$121.02	$166.29	$676.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $280.80 / $351.00	Professional		$234.00	$280.80	$351.00
United Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $98.28 / $98.28	Facility		$98.28	$98.28	$98.28
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $105.30 / $187.09	Professional		$98.28	$105.30	$187.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $117.00	Professional		$117.00	$117.00	$117.00