Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Facility		$129.41	$129.41	$129.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $123.55	Professional		$112.32	$112.32	$123.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.90 / $402.90 / $402.90	Professional		$402.90	$402.90	$402.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $143.05	Professional		$112.32	$112.32	$143.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $112.32 / $981.85	Professional		$95.47	$112.32	$981.85
United Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $118.50	Professional		$112.32	$112.32	$118.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $147.13	Professional		$112.32	$112.32	$147.13