Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $71.28 / $1,219.26	Facility		$0.98	$71.28	$1,219.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $87.32 / $314.04	Professional		$50.09	$87.32	$314.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $67.34 / $76.97	Professional		$64.98	$67.34	$76.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $54.57 / $54.57	Facility		$54.57	$54.57	$54.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $103.58 / $193.33	Professional		$58.01	$103.58	$193.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $132.04 / $216.86	Professional		$99.28	$132.04	$216.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $103.46 / $183.23	Professional		$75.64	$103.46	$183.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $114.17 / $140.91	Professional		$82.22	$114.17	$140.91