Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $327.88 / $1,088.33	Facility		$127.66	$327.88	$1,088.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $121.20 / $227.55	Professional		$75.00	$121.20	$227.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $40.90 / $55.32 / $69.79	Professional	52	$40.90	$55.32	$69.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $86.30 / $109.60	Professional		$85.64	$86.30	$109.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $125.70 / $220.02	Professional		$78.26	$125.70	$220.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $157.03 / $271.99	Professional		$117.53	$157.03	$271.99
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $129.29 / $262.58	Professional		$100.83	$129.29	$262.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.01 / $104.95 / $158.77	Professional		$94.01	$104.95	$158.77