Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.86 / $179.52 / $419.77	Facility		$48.86	$179.52	$419.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $83.11 / $348.90	Professional		$57.60	$83.11	$348.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $82.97	Professional		$50.94	$50.94	$82.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $47.94 / $50.00	Facility		$47.94	$47.94	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $93.91 / $179.84	Professional		$59.93	$93.91	$179.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $111.77 / $148.47	Professional		$86.64	$111.77	$148.47
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $128.00	Facility		$36.00	$41.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $92.63 / $185.04	Professional		$66.59	$92.63	$185.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $99.64 / $122.82	Professional		$82.24	$99.64	$122.82