Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.50 / $581.83 / $992.96	Facility		$51.50	$581.83	$992.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $194.85 / $458.73	Professional		$45.99	$194.85	$458.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $43.66 / $50.21	Professional		$40.64	$43.66	$50.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $160.69 / $388.74	Professional		$44.49	$160.69	$388.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $250.62 / $391.29	Professional		$61.01	$250.62	$391.29
United Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $242.39 / $514.71	Professional		$177.21	$242.39	$514.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $169.88 / $301.35	Professional		$45.45	$169.88	$301.35