Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $120.38	Professional		$109.44	$109.44	$120.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $318.33 / $318.33	Professional		$318.33	$318.33	$318.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $139.38	Professional		$109.44	$109.44	$139.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $109.44 / $1,501.44	Professional		$93.02	$109.44	$1,501.44
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $115.46	Professional		$109.44	$109.44	$115.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $143.37	Professional		$109.44	$109.44	$143.37