Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.97 / $163.97 / $351.14	Facility		$163.97	$163.97	$351.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $75.70 / $166.30	Professional		$53.00	$75.70	$166.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $86.96	Professional		$65.94	$65.94	$86.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $50.00 / $641.21	Facility		$45.19	$50.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.03 / $99.81 / $183.49	Professional		$66.03	$99.81	$183.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $118.96 / $171.79	Professional		$91.39	$118.96	$171.79
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $94.90 / $175.65	Professional		$68.09	$94.90	$175.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $106.05 / $130.56	Professional		$81.44	$106.05	$130.56