Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $478.63	Facility		$72.44	$114.82	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $478.63	Professional		$81.28	$144.54	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $112.20	Professional		$81.28	$91.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $331.13 / $645.65	Facility		$54.95	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $234.42	Professional		$81.28	$128.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $204.17	Professional		$109.65	$125.89	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $95.50	Facility		$36.31	$40.74	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $194.98	Professional		$72.44	$112.20	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $165.96	Professional		$107.15	$125.89	$165.96