Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.02 / $504.02 / $504.02	Facility		$504.02	$504.02	$504.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $99.71 / $145.53	Professional		$95.08	$99.71	$145.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $97.61 / $102.78	Professional		$86.59	$97.61	$102.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $110.00 / $188.49	Facility		$72.00	$110.00	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $118.72 / $215.14	Professional		$81.73	$118.72	$215.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.53 / $113.72 / $159.41	Professional		$93.53	$113.72	$159.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $105.40 / $203.23	Professional		$72.23	$105.40	$203.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.13 / $86.26 / $153.44	Professional		$86.13	$86.26	$153.44