Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $380.87 / $999.75	Facility		$68.62	$380.87	$999.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $141.44 / $403.84	Professional		$49.47	$141.44	$403.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $60.56 / $76.91	Professional		$55.12	$60.56	$76.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $149.94 / $412.67	Professional		$58.63	$149.94	$412.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $286.38 / $417.93	Professional		$84.69	$286.38	$417.93
United Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $199.58 / $388.46	Professional		$131.80	$199.58	$388.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $194.29 / $343.61	Professional		$63.52	$194.29	$343.61