Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $489.78 / $1,548.82	Facility		$53.70	$489.78	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $81.28 / $257.04	Professional		$40.74	$81.28	$257.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $42.66 / $52.48	Professional		$38.02	$42.66	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $331.13	Facility		$30.20	$30.20	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $128.82	Professional		$41.69	$66.07	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Professional		$60.26	$70.79	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $60.26	Facility		$36.31	$40.74	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $109.65	Professional		$37.15	$60.26	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $97.72	Professional		$54.95	$72.44	$97.72