Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $255.09 / $255.09	Facility		$255.09	$255.09	$255.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $380.08	Professional		$256.08	$256.08	$380.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $255.09 / $256.08	Professional		$255.09	$255.09	$256.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.41 / $248.41 / $249.61	Facility		$248.41	$248.41	$249.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $301.99	Professional		$256.08	$256.08	$301.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $256.08 / $269.19	Professional		$217.68	$256.08	$269.19
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $285.08 / $305.62	Professional		$256.08	$285.08	$305.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.41 / $248.41 / $344.37	Professional		$248.41	$248.41	$344.37