Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Facility		$217.09	$217.09	$217.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $260.51	Professional		$217.09	$217.09	$260.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.76 / $214.76 / $214.76	Facility		$214.76	$214.76	$214.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $256.00	Professional		$217.09	$217.09	$256.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $217.09 / $227.94	Professional		$184.53	$217.09	$227.94
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $241.67 / $261.00	Professional		$217.09	$241.67	$261.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $214.76 / $293.07	Professional		$214.76	$214.76	$293.07