Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $150.32 / $673.74	Facility		$63.66	$150.32	$673.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.94 / $283.92 / $758.79	Professional		$226.94	$283.92	$758.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $294.56 / $328.34	Professional		$217.72	$294.56	$328.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $350.47 / $668.59	Professional		$243.38	$350.47	$668.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $411.83 / $544.14	Professional		$319.25	$411.83	$544.14
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 $205.39 / $296.44 / $545.13	Professional		$205.39	$296.44	$545.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $367.14 / $451.11	Professional		$237.00	$367.14	$451.11