Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $275.00 / $540.10	Facility		$275.00	$275.00	$540.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $203.06 / $564.50	Professional		$151.19	$203.06	$564.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $194.08 / $194.08	Professional		$194.08	$194.08	$194.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.58 / $369.41 / $531.95	Professional		$258.58	$369.41	$531.95
United Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $184.30 / $293.77	Professional		$142.96	$184.30	$293.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $202.56 / $258.58	Professional		$97.50	$202.56	$258.58