Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $501.19 / $645.65	Facility		$77.62	$501.19	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $426.58	Professional		$69.18	$134.90	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $75.86	Professional		$54.95	$61.66	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $213.80	Professional		$67.61	$104.71	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $199.53	Professional		$114.82	$128.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $91.20	Facility		$36.31	$40.74	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $169.82	Professional		$60.26	$93.33	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $162.18	Professional		$87.10	$131.83	$162.18