Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.18 / $89.18 / $2,702.11	Facility		$89.18	$89.18	$2,702.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $339.19	Professional		$106.70	$106.70	$339.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.00 / $187.00 / $187.00	Professional		$187.00	$187.00	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $106.70 / $479.40	Facility		$106.70	$106.70	$479.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $135.88	Professional		$106.70	$106.70	$135.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $106.70 / $507.56	Professional		$90.70	$106.70	$507.56
United Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $122.71	Professional		$106.70	$106.70	$122.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $136.85 / $139.78	Professional		$136.85	$136.85	$139.78