Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $93.90 / $479.40	Facility		$67.64	$93.90	$479.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $109.92 / $326.23	Professional		$78.38	$109.92	$326.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $95.99 / $108.53	Professional		$94.85	$95.99	$108.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.97 / $330.00 / $641.21	Facility		$54.97	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $131.66 / $246.50	Professional		$79.97	$131.66	$246.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $138.53 / $230.32	Professional		$107.39	$138.53	$230.32
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 $86.23 / $119.77 / $213.26	Professional		$86.23	$119.77	$213.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $123.50 / $153.88	Professional		$107.39	$123.50	$153.88