Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $327.12 / $596.62	Facility		$51.29	$327.12	$596.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $191.19 / $463.35	Professional		$35.82	$191.19	$463.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $39.77 / $55.68	Professional		$38.53	$39.77	$55.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $138.82 / $629.00	Facility		$116.90	$138.82	$629.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.42 / $51.42 / $51.42	Facility	52	$51.42	$51.42	$51.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $207.66 / $413.21	Professional		$37.99	$207.66	$413.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.61 / $269.92 / $432.06	Professional		$171.61	$269.92	$432.06
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $108.00 / $550.00	Facility		$71.00	$108.00	$550.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.14 / $264.08 / $429.95	Professional		$203.14	$264.08	$429.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $263.13 / $323.42	Professional		$197.05	$263.13	$323.42