Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.98 / $466.98 / $466.98	Facility		$466.98	$466.98	$466.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $152.80 / $241.58	Professional		$126.48	$152.80	$241.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $211.25	Professional		$188.00	$188.00	$211.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $176.75	Professional		$129.03	$129.03	$176.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $309.02 / $445.00	Professional		$216.32	$309.02	$445.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $154.18 / $245.76	Professional		$127.54	$154.18	$245.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $169.46 / $216.32	Professional		$129.56	$169.46	$216.32