Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.32 / $127.59 / $211.59	Facility		$106.32	$127.59	$211.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $994.75	Professional		$106.33	$107.40	$994.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $140.69 / $140.69	Professional		$107.36	$140.69	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $135.55 / $354.88	Facility		$135.55	$135.55	$354.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $135.43	Professional		$106.33	$106.33	$135.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $106.33 / $375.75	Professional		$90.38	$106.33	$375.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $118.37 / $129.06	Professional		$106.33	$118.37	$129.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $135.55 / $183.65	Professional		$122.28	$135.55	$183.65