Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $219.64 / $233.09	Facility		$50.59	$219.64	$233.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $191.44 / $511.90	Professional		$123.95	$191.44	$511.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $130.44 / $174.56	Professional		$130.44	$130.44	$174.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.92 / $287.92 / $287.92	Facility		$287.92	$287.92	$287.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.66 / $194.90 / $374.78	Professional		$119.66	$194.90	$374.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $235.34 / $399.15	Professional		$176.95	$235.34	$399.15
United Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $204.18 / $368.89	Professional		$152.12	$204.18	$368.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $203.49 / $251.52	Professional		$133.94	$203.49	$251.52