Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.89 / $213.89 / $213.89	Facility		$213.89	$213.89	$213.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $87.83 / $256.32	Professional		$50.36	$87.83	$256.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $62.25 / $71.16	Professional		$43.90	$62.25	$71.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $66.86 / $66.86	Facility		$66.86	$66.86	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $94.35 / $179.69	Professional		$50.42	$94.35	$179.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $121.60 / $212.07	Professional		$91.43	$121.60	$212.07
United Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $104.21 / $175.62	Professional		$74.19	$104.21	$175.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $105.14 / $129.87	Professional		$65.83	$105.14	$129.87