Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $135.13 / $282.33	Facility		$51.01	$135.13	$282.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $179.09 / $314.87	Professional		$141.88	$179.09	$314.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $186.00 / $236.98	Professional		$186.00	$186.00	$236.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $346.66 / $499.19	Professional		$242.66	$346.66	$499.19
United Facility/Professional Professional Modifier Low / Median / High Price $130.43 / $172.94 / $275.67	Professional		$130.43	$172.94	$275.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $186.89 / $242.66	Professional		$96.00	$186.89	$242.66