Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $172.91 / $4,277.09	Facility		$0.98	$172.91	$4,277.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $109.03 / $421.00	Professional		$55.67	$109.03	$421.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $82.73 / $94.56	Professional		$74.84	$82.73	$94.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.39 / $61.39 / $61.39	Facility		$61.39	$61.39	$61.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $115.85 / $221.23	Professional		$64.93	$115.85	$221.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $150.94 / $247.89	Professional		$113.56	$150.94	$247.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.33 / $124.60 / $204.74	Professional		$87.33	$124.60	$204.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $130.59 / $161.01	Professional		$110.80	$130.59	$161.01