Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $512.86	Professional		$123.03	$165.96	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Professional		$186.21	$186.21	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Facility		$177.83	$177.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $467.74	Professional		$218.78	$316.23	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $213.80	Facility		$95.50	$138.04	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $245.47	Professional		$131.83	$154.88	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03