Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $87.66 / $156.69	Facility		$87.66	$87.66	$156.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $84.33 / $390.58	Professional		$72.31	$84.33	$390.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $82.02 / $98.48	Professional		$81.86	$82.02	$98.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $100.42 / $231.24	Professional		$73.20	$100.42	$231.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $102.21 / $161.63	Professional		$76.84	$102.21	$161.63
United Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $88.42 / $182.45	Professional		$65.95	$88.42	$182.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $88.38 / $109.83	Professional		$59.59	$88.38	$109.83