Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Facility		$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $152.76	Professional		$145.49	$145.49	$152.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.60 / $183.60 / $183.60	Professional		$183.60	$183.60	$183.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $185.29	Professional		$145.49	$145.49	$185.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.67 / $145.49 / $194.46	Professional		$123.67	$145.49	$194.46
United Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $145.49 / $153.49	Professional		$145.40	$145.49	$153.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $145.49 / $190.59	Professional		$127.55	$145.49	$190.59