Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.84 / $263.75 / $403.84	Facility		$150.84	$263.75	$403.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $102.07 / $175.40	Professional		$70.41	$102.07	$175.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $70.23 / $80.29	Professional		$66.11	$70.23	$80.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $63.98 / $63.98	Facility		$63.98	$63.98	$63.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $120.98 / $277.70	Professional		$70.41	$120.98	$277.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.41 / $198.86	Professional		$85.11	$141.41	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $126.05 / $236.25	Professional		$90.67	$126.05	$236.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $97.50 / $170.22	Professional		$76.19	$97.50	$170.22