Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.40 / $306.18 / $870.40	Facility		$120.40	$306.18	$870.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $177.01 / $419.74	Professional		$105.07	$177.01	$419.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $127.03 / $174.03	Professional		$117.00	$127.03	$174.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $137.08 / $437.00	Facility		$120.95	$137.08	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $187.77 / $351.70	Professional		$109.56	$187.77	$351.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $230.11 / $328.03	Professional		$157.30	$230.11	$328.03
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $195.41 / $330.87	Professional		$146.56	$195.41	$330.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.31 / $222.64 / $274.92	Professional		$136.31	$222.64	$274.92