Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.65 / $197.65	Facility		$197.65	$197.65	$197.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $252.99	Professional		$197.83	$197.83	$252.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.65 / $197.83	Professional		$197.65	$197.65	$197.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $194.08 / $194.08	Facility		$194.08	$194.08	$194.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $233.29	Professional		$197.83	$197.83	$233.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $197.83 / $208.20	Professional		$168.16	$197.83	$208.20
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $220.23 / $239.37	Professional		$197.83	$220.23	$239.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $266.83	Professional		$193.86	$193.86	$266.83