Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $467.74	Professional		$93.33	$125.89	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $158.49	Professional		$138.04	$138.04	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $131.83	Professional		$95.50	$95.50	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $346.74	Professional		$162.18	$234.42	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $158.49	Facility		$70.79	$102.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $181.97	Professional		$95.50	$114.82	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $194.98	Professional		$58.88	$125.89	$194.98