Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.10 / $91.10 / $433.95	Facility		$91.10	$91.10	$433.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $134.54 / $365.96	Professional		$92.54	$134.54	$365.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $87.47 / $96.22	Professional		$86.66	$87.47	$96.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $77.27	Facility		$50.00	$50.00	$77.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $153.81 / $299.74	Professional		$99.11	$153.81	$299.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.84 / $188.13 / $248.99	Professional		$145.84	$188.13	$248.99
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 $104.06 / $159.66 / $312.33	Professional		$104.06	$159.66	$312.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $167.72 / $206.20	Professional		$124.93	$167.72	$206.20