Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $156.18 / $1,066.93	Facility		$73.31	$156.18	$1,066.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $156.19 / $375.46	Professional		$72.95	$156.19	$375.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $79.01 / $90.31	Professional		$62.91	$79.01	$90.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Facility		$105.40	$105.40	$105.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $147.62 / $298.17	Professional		$69.89	$147.62	$298.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $186.11 / $333.18	Professional		$127.59	$186.11	$333.18
United Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $157.82 / $285.26	Professional		$115.25	$157.82	$285.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $165.91 / $204.62	Professional		$112.13	$165.91	$204.62