Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $436.52	Facility		$91.20	$91.20	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $616.60	Professional		$95.50	$141.25	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $109.65	Professional		$79.43	$87.10	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Facility		$50.12	$50.12	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $302.00	Professional		$97.72	$151.36	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $269.15	Professional		$158.49	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $128.82	Facility		$36.31	$40.74	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $245.47	Professional		$89.13	$134.90	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $223.87	Professional		$125.89	$181.97	$223.87