Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.94 / $176.45 / $447.50	Facility		$146.94	$176.45	$447.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $63.69 / $237.11	Professional		$38.18	$63.69	$237.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $46.01 / $50.61	Professional		$41.05	$46.01	$50.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $35.72 / $330.00	Facility		$35.72	$35.72	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $67.38 / $132.88	Professional		$41.31	$67.38	$132.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $87.89 / $122.94	Professional		$67.73	$87.89	$122.94
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 $47.64 / $68.48 / $122.19	Professional		$47.64	$68.48	$122.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $78.34 / $96.77	Professional		$56.15	$78.34	$96.77