Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.52 / $695.52 / $695.52	Facility		$695.52	$695.52	$695.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $95.59 / $135.66	Professional		$88.93	$95.59	$135.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $98.68 / $118.42	Professional		$88.82	$98.68	$118.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $77.00 / $188.49	Facility		$72.00	$77.00	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $108.45 / $192.43	Professional		$77.81	$108.45	$192.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $104.13 / $147.44	Professional		$88.46	$104.13	$147.44
United Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $43.69 / $43.69	Facility		$43.69	$43.69	$43.69
United Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $100.87 / $168.17	Professional		$66.31	$100.87	$168.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $113.03 / $142.50	Professional		$80.06	$113.03	$142.50