Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $218.78 / $933.25	Facility		$158.49	$218.78	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $380.19	Professional		$58.88	$100.00	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $218.78	Professional		$46.77	$52.48	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Facility		$47.86	$47.86	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $177.83	Professional		$60.26	$89.13	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $158.49	Professional		$93.33	$107.15	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $75.86	Facility		$36.31	$40.74	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $147.91	Professional		$53.70	$83.18	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $131.83	Professional		$83.18	$107.15	$131.83