Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.59 / $113.59 / $184.19	Facility		$113.59	$113.59	$184.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $115.13 / $159.71	Professional		$101.31	$115.13	$159.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $122.80 / $167.01	Professional		$69.76	$122.80	$167.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $100.89 / $198.64	Facility		$81.36	$100.89	$198.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $146.52 / $220.96	Professional		$70.01	$146.52	$220.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $191.88 / $230.25	Professional		$153.50	$191.88	$230.25
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $76.75 / $139.68	Professional		$64.47	$76.75	$139.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $76.75 / $122.03	Professional		$59.87	$76.75	$122.03