Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $149.22 / $511.27	Facility		$71.23	$149.22	$511.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $135.46 / $469.63	Professional		$76.84	$135.46	$469.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $112.23 / $148.38	Professional		$101.01	$112.23	$148.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $70.26 / $70.26	Facility		$70.26	$70.26	$70.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $143.15 / $296.43	Professional		$88.46	$143.15	$296.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $169.61 / $284.70	Professional		$131.47	$169.61	$284.70
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $144.16 / $255.14	Professional		$99.03	$144.16	$255.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $151.19 / $186.54	Professional		$107.88	$151.19	$186.54