Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Facility		$142.86	$142.86	$142.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $153.00	Professional		$131.90	$131.90	$153.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $298.61 / $298.61	Professional		$298.61	$298.61	$298.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $382.50	Facility		$131.90	$131.90	$382.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $167.98	Professional		$131.90	$131.90	$167.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.12 / $131.90 / $407.44	Professional		$112.12	$131.90	$407.44
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $139.81	Professional		$131.90	$131.90	$139.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $144.36 / $172.79	Professional		$144.36	$144.36	$172.79