Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $134.90	Facility		$102.33	$114.82	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $338.84	Professional		$77.62	$123.03	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $186.21	Professional		$100.00	$107.15	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $239.88	Professional		$97.72	$147.91	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $204.17	Professional		$95.50	$125.89	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $208.93	Professional		$77.62	$120.23	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $177.83	Professional		$112.20	$138.04	$177.83