Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.52 / $280.52 / $280.52	Facility		$280.52	$280.52	$280.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $200.85 / $305.58	Professional		$90.42	$200.85	$305.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $111.99 / $126.55	Professional		$82.28	$111.99	$126.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.67 / $219.67 / $219.67	Facility		$219.67	$219.67	$219.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $216.44 / $438.75	Professional		$99.67	$216.44	$438.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $280.04 / $373.63	Professional		$168.55	$280.04	$373.63
United Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $239.79 / $496.33	Professional		$155.21	$239.79	$496.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $191.37 / $337.09	Professional		$106.23	$191.37	$337.09