Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $47.68 / $160.32	Facility		$47.68	$47.68	$160.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $198.49 / $449.52	Professional		$127.35	$198.49	$449.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $148.06 / $168.11	Professional		$136.00	$148.06	$168.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.56 / $1,034.56 / $1,034.56	Facility		$1,034.56	$1,034.56	$1,034.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $214.31 / $450.08	Professional		$138.22	$214.31	$450.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.16 / $271.52 / $447.58	Professional		$204.16	$271.52	$447.58
United Facility/Professional Professional Modifier Low / Median / High Price $167.27 / $219.54 / $405.63	Professional		$167.27	$219.54	$405.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $234.78 / $290.45	Professional		$144.46	$234.78	$290.45