Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.78 / $414.91 / $1,703.78	Facility		$98.78	$414.91	$1,703.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $55.36 / $200.00	Professional		$35.07	$55.36	$200.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.75 / $45.93	Professional		$37.15	$41.75	$45.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $25.65 / $330.00	Facility		$25.65	$25.65	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $60.59 / $118.72	Professional		$36.49	$60.59	$118.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.98 / $69.70 / $112.65	Professional		$53.98	$69.70	$112.65
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 $38.70 / $55.12 / $106.78	Professional		$38.70	$55.12	$106.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $62.13 / $77.12	Professional		$49.68	$62.13	$77.12