Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.91 / $260.91 / $260.91	Facility		$260.91	$260.91	$260.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $184.30 / $276.45	Professional		$132.97	$184.30	$276.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $345.62 / $345.62 / $345.62	Professional		$345.62	$345.62	$345.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $347.71 / $409.07	Professional		$347.71	$347.71	$409.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.06 / $308.45 / $493.38	Professional		$251.06	$308.45	$493.38
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $278.87 / $434.64	Professional		$173.23	$278.87	$434.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.66 / $325.66 / $325.66	Professional		$325.66	$325.66	$325.66