Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $126.06 / $126.06	Facility		$126.06	$126.06	$126.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.98 / $223.98 / $223.98	Professional		$223.98	$223.98	$223.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $229.50	Facility		$123.80	$123.80	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $157.66	Professional		$123.80	$123.80	$157.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $123.80 / $278.69	Professional		$105.23	$123.80	$278.69
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $130.61	Professional		$123.80	$123.80	$130.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $162.18	Professional		$123.80	$123.80	$162.18