Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $309.30 / $992.24	Facility		$43.84	$309.30	$992.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $113.39 / $444.31	Professional		$37.03	$113.39	$444.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $38.58 / $52.13	Professional		$38.58	$38.58	$52.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $50.32 / $50.32	Facility		$50.32	$50.32	$50.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $115.54 / $327.07	Professional		$38.38	$115.54	$327.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $207.48 / $281.88	Professional		$51.94	$207.48	$281.88
United Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $191.26 / $339.81	Professional		$132.41	$191.26	$339.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $144.34 / $256.05	Professional		$38.65	$144.34	$256.05