Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.76 / $363.57 / $698.04	Facility		$192.76	$363.57	$698.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $156.66 / $399.30	Professional		$73.81	$156.66	$399.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.41 / $86.44 / $98.79	Professional		$77.41	$86.44	$98.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.46 / $93.46 / $93.46	Facility		$93.46	$93.46	$93.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $134.22 / $249.26	Professional		$72.84	$134.22	$249.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $176.77 / $298.51	Professional		$132.91	$176.77	$298.51
United Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $140.79 / $247.38	Professional		$102.21	$140.79	$247.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $152.85 / $188.31	Professional		$90.76	$152.85	$188.31