Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.13 / $127.13 / $127.13	Facility		$127.13	$127.13	$127.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $83.20 / $210.27	Professional		$42.14	$83.20	$210.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $48.38 / $95.33	Professional		$47.94	$48.38	$95.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $330.00	Facility		$45.81	$45.81	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $111.41 / $225.13	Professional		$45.35	$111.41	$225.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $106.49 / $184.79	Professional		$82.55	$106.49	$184.79
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $127.64 / $222.67	Professional		$65.23	$127.64	$222.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $94.93 / $116.91	Professional		$81.55	$94.93	$116.91