Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $628.74 / $996.16	Facility		$119.36	$628.74	$996.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $105.64 / $290.04	Professional		$54.23	$105.64	$290.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $56.94 / $74.13	Professional		$51.49	$56.94	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $62.76 / $62.76	Facility		$62.76	$62.76	$62.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $118.71 / $250.30	Professional		$56.64	$118.71	$250.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $134.79 / $235.55	Professional		$104.49	$134.79	$235.55
United Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $148.94 / $242.26	Professional		$93.80	$148.94	$242.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $120.16 / $148.37	Professional		$103.10	$120.16	$148.37