Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $125.91 / $464.23	Facility		$0.90	$125.91	$464.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $92.28 / $277.31	Professional		$54.87	$92.28	$277.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $80.08 / $91.53	Professional		$71.14	$80.08	$91.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.99 / $57.99 / $57.99	Facility		$57.99	$57.99	$57.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $114.69 / $212.74	Professional		$63.47	$114.69	$212.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $138.47 / $232.24	Professional		$107.34	$138.47	$232.24
United Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $118.18 / $195.80	Professional		$79.91	$118.18	$195.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $123.44 / $152.18	Professional		$87.02	$123.44	$152.18