Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.99 / $435.99 / $435.99	Facility		$435.99	$435.99	$435.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $147.79 / $253.82	Professional		$118.64	$147.79	$253.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $176.35 / $198.15	Professional		$176.35	$176.35	$198.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $229.28	Professional		$127.75	$127.75	$229.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $289.86 / $417.40	Professional		$202.90	$289.86	$417.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $144.61 / $230.51	Professional		$112.18	$144.61	$230.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $158.94 / $202.90	Professional		$76.59	$158.94	$202.90