Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.05 / $175.76 / $181.06	Facility		$174.05	$175.76	$181.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $96.69 / $395.56	Professional		$61.92	$96.69	$395.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $59.66 / $65.63	Professional		$55.45	$59.66	$65.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $60.47	Facility		$50.00	$50.00	$60.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $105.49 / $210.21	Professional		$67.70	$105.49	$210.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $134.83 / $179.41	Professional		$104.52	$134.83	$179.41
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 $72.98 / $107.93 / $200.09	Professional		$72.98	$107.93	$200.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.65 / $120.20 / $147.88	Professional		$85.65	$120.20	$147.88