Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $162.66 / $563.52	Facility		$91.83	$162.66	$563.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $131.37 / $358.12	Professional		$74.97	$131.37	$358.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $99.80 / $151.94	Professional		$94.77	$99.80	$151.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.44 / $63.44 / $63.44	Facility		$63.44	$63.44	$63.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $141.82 / $268.44	Professional		$78.59	$141.82	$268.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $165.27 / $272.75	Professional		$124.26	$165.27	$272.75
United Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $152.82 / $246.78	Professional		$109.22	$152.82	$246.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $142.90 / $173.94	Professional		$124.26	$142.90	$173.94