Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $66.17 / $352.01	Facility		$39.79	$66.17	$352.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $95.87 / $256.77	Professional		$45.77	$95.87	$256.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $52.96 / $92.36	Professional		$47.19	$52.96	$92.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $57.30 / $75.00	Facility		$57.30	$57.30	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $106.84 / $201.17	Professional		$50.44	$106.84	$201.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $108.97 / $173.53	Professional		$78.51	$108.97	$173.53
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $150.00	Facility		$36.00	$36.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $111.39 / $176.58	Professional		$76.83	$111.39	$176.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $106.23 / $131.19	Professional		$77.04	$106.23	$131.19