Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $309.03 / $512.86	Facility		$75.86	$309.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $389.05	Professional		$52.48	$104.71	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $48.98	Professional		$32.36	$35.48	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Facility		$48.98	$48.98	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $165.96	Professional		$47.86	$87.10	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $169.82	Professional		$97.72	$117.49	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $77.62	Facility		$36.31	$40.74	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $141.25	Professional		$41.69	$77.62	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $147.91	Professional		$79.43	$120.23	$147.91