Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.97 / $222.97 / $222.97	Facility		$222.97	$222.97	$222.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $125.54 / $209.35	Professional		$93.45	$125.54	$209.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $156.08	Professional		$138.91	$138.91	$156.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $183.74	Professional		$95.33	$95.33	$183.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $228.32 / $328.78	Professional		$159.82	$228.32	$328.78
United Facility/Professional Professional Modifier Low / Median / High Price $88.37 / $113.91 / $181.57	Professional		$88.37	$113.91	$181.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $125.22 / $159.82	Professional		$58.52	$125.22	$159.82