Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.60 / $838.04 / $939.62	Facility		$717.60	$838.04	$939.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $63.10 / $102.87	Professional		$55.23	$63.10	$102.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $71.84 / $87.96	Professional		$71.84	$71.84	$87.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $104.66	Facility		$104.66	$104.66	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $88.96 / $104.66	Professional		$88.96	$88.96	$104.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $128.66 / $185.28	Professional		$90.07	$128.66	$185.28
United Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $66.40 / $101.80	Professional		$57.97	$66.40	$101.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $71.27 / $109.37	Professional		$71.27	$71.27	$109.37