Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.93 / $139.80 / $1,631.61	Facility		$60.93	$139.80	$1,631.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $108.82 / $304.63	Professional		$54.89	$108.82	$304.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $61.64 / $70.45	Professional		$57.49	$61.64	$70.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $105.04 / $221.55	Professional		$54.55	$105.04	$221.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $134.84 / $224.86	Professional		$101.38	$134.84	$224.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $126.96 / $234.87	Professional		$89.65	$126.96	$234.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $116.59 / $144.02	Professional		$91.65	$116.59	$144.02