Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $133.83 / $314.16	Facility		$53.95	$133.83	$314.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $97.52 / $218.47	Professional		$40.46	$97.52	$218.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $51.49 / $62.00	Professional		$48.93	$51.49	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $82.88 / $82.88	Facility		$82.88	$82.88	$82.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $98.97 / $192.93	Professional		$56.09	$98.97	$192.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $176.61 / $235.64	Professional		$122.22	$176.61	$235.64
United Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $108.10 / $182.16	Professional		$71.14	$108.10	$182.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $160.01 / $195.24	Professional		$74.40	$160.01	$195.24