Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $643.41 / $1,426.88	Facility		$77.38	$643.41	$1,426.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $99.70 / $389.00	Professional		$62.82	$99.70	$389.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $60.65 / $66.72	Professional		$58.98	$60.65	$66.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $60.77	Facility		$50.00	$50.00	$60.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $106.65 / $211.84	Professional		$68.65	$106.65	$211.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $135.28 / $180.03	Professional		$104.87	$135.28	$180.03
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 $74.02 / $107.17 / $195.71	Professional		$74.02	$107.17	$195.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $120.60 / $148.37	Professional		$86.81	$120.60	$148.37