Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $112.20 / $131.83	Facility		$97.72	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $269.15	Professional		$79.43	$117.49	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $218.78	Professional		$97.72	$107.15	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $229.09	Professional		$95.50	$154.88	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $177.83	Professional		$95.50	$125.89	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $218.78	Professional		$81.28	$123.03	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $173.78	Professional		$112.20	$134.90	$173.78