Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.08 / $518.08 / $518.08	Facility		$518.08	$518.08	$518.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $177.86 / $297.25	Professional		$139.01	$177.86	$297.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $179.00 / $228.10	Professional		$179.00	$179.00	$228.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.58 / $333.68 / $480.50	Professional		$233.58	$333.68	$480.50
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $221.96 / $256.52	Facility		$128.27	$221.96	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $172.20 / $263.98	Professional		$150.31	$172.20	$263.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $201.92 / $233.58	Professional		$201.92	$201.92	$233.58