Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $323.59	Facility		$234.42	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $239.88	Professional		$46.77	$89.13	$239.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $63.10	Professional		$46.77	$51.29	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $147.91	Professional		$45.71	$83.18	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $125.89	Professional		$63.10	$85.11	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $117.49	Professional		$43.65	$72.44	$117.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $114.82	Professional		$75.86	$95.50	$114.82