Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $166.48 / $166.48	Facility		$136.18	$166.48	$166.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $160.94	Professional		$138.74	$138.74	$160.94
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 $138.74 / $138.74 / $240.24	Facility		$138.74	$138.74	$240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $176.70	Professional		$138.74	$138.74	$176.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $138.74 / $253.80	Professional		$113.68	$138.74	$253.80
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $147.06	Professional		$138.74	$138.74	$147.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $138.75 / $181.75	Professional		$138.75	$138.75	$181.75