Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $108.60 / $108.60	Facility		$108.60	$108.60	$108.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $151.72	Professional		$137.93	$137.93	$151.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $175.66	Professional		$137.93	$137.93	$175.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $137.93 / $274.54	Professional		$117.24	$137.93	$274.54
United Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $145.52	Professional		$137.93	$137.93	$145.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $137.93 / $180.69	Professional		$108.60	$137.93	$180.69