Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $933.25	Facility		$114.82	$199.53	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $269.15	Professional		$47.86	$93.33	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $57.54	Professional		$42.66	$46.77	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Facility		$50.12	$50.12	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $181.97	Professional		$50.12	$87.10	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $190.55	Professional		$114.82	$131.83	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $81.28	Facility		$36.31	$40.74	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $144.54	Professional		$43.65	$75.86	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $165.96	Professional		$69.18	$134.90	$165.96