Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $370.09 / $3,057.12	Facility		$81.34	$370.09	$3,057.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $106.88 / $332.83	Professional		$40.40	$106.88	$332.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $56.24 / $71.98	Professional		$50.61	$56.24	$71.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $66.52 / $66.52	Facility		$66.52	$66.52	$66.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $107.15 / $231.73	Professional		$42.67	$107.15	$231.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $130.02 / $234.92	Professional		$100.79	$130.02	$234.92
United Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $136.96 / $236.58	Professional		$97.31	$136.96	$236.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $115.91 / $143.04	Professional		$90.02	$115.91	$143.04