Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $354.81	Professional		$77.62	$100.00	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $134.90	Professional		$97.72	$104.71	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $199.53	Professional		$75.86	$138.04	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $186.21	Professional		$81.28	$109.65	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $204.17	Professional		$85.11	$131.83	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $141.25	Professional		$93.33	$109.65	$141.25