Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.16 / $280.16 / $363.76	Facility		$280.16	$280.16	$363.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $128.25 / $400.98	Professional		$95.49	$128.25	$400.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $159.47	Professional		$130.26	$130.26	$159.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $233.30 / $335.95	Professional		$163.31	$233.30	$335.95
United Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $116.39 / $185.53	Professional		$96.29	$116.39	$185.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $127.94 / $163.31	Professional		$91.74	$127.94	$163.31