Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.15 / $243.15	Facility		$243.15	$243.15	$243.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $311.23	Professional		$243.61	$243.61	$311.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $235.06 / $243.61	Professional		$226.80	$235.06	$243.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.88 / $238.54 / $243.61	Facility		$205.88	$238.54	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $243.61 / $252.57	Professional		$207.07	$243.61	$252.57
United Facility/Professional Professional Modifier Low / Median / High Price $158.35 / $243.61 / $255.91	Professional		$158.35	$243.61	$255.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $235.95 / $319.13	Professional		$235.95	$235.95	$319.13