Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $425.72 / $987.84	Facility		$202.73	$425.72	$987.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $239.58 / $323.75	Professional		$161.88	$239.58	$323.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $226.63 / $308.22	Professional		$118.80	$226.63	$308.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.59 / $212.79 / $418.96	Facility		$171.59	$212.79	$418.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $223.34 / $465.14	Professional		$95.73	$223.34	$465.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $404.69 / $485.63	Professional		$323.75	$404.69	$485.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.90 / $152.16 / $198.14	Professional		$69.90	$152.16	$198.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $161.88 / $257.38	Professional		$126.26	$161.88	$257.38