Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $272.38 / $492.08	Facility		$272.38	$272.38	$492.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $93.32 / $160.21	Professional		$83.88	$93.32	$160.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $114.40 / $140.10	Professional		$114.40	$114.40	$140.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $102.59	Professional		$102.59	$102.59	$102.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $204.94 / $295.11	Professional		$143.46	$204.94	$295.11
United Facility/Professional Professional Modifier Low / Median / High Price $79.30 / $102.25 / $162.97	Professional		$79.30	$102.25	$162.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $112.36 / $143.46	Professional		$103.34	$112.36	$143.46