Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $381.27 / $961.64	Facility		$59.71	$381.27	$961.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $120.97 / $331.53	Professional		$43.04	$120.97	$331.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $36.40 / $125.13	Professional		$36.40	$36.40	$125.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.41 / $91.41 / $91.41	Facility		$91.41	$91.41	$91.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $111.42 / $231.23	Professional		$36.53	$111.42	$231.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $138.47 / $224.69	Professional		$59.05	$138.47	$224.69
United Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $136.94 / $243.47	Professional		$103.84	$136.94	$243.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $96.33 / $170.17	Professional		$36.82	$96.33	$170.17