Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $117.49 / $5,011.87	Facility		$0.98	$117.49	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $199.53 / $602.56	Professional		$75.86	$199.53	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $83.18	Professional		$66.07	$74.13	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $630.96 / $645.65	Facility		$120.23	$630.96	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $338.84	Professional		$72.44	$158.49	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $331.13	Professional		$154.88	$204.17	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $223.87	Facility		$52.48	$97.72	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $346.74	Professional		$70.79	$173.78	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $223.87 / $263.03	Professional		$69.18	$223.87	$263.03