Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $407.38	Professional		$41.69	$87.10	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $70.79	Professional		$43.65	$47.86	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $331.13	Facility		$45.71	$45.71	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $208.93	Professional		$54.95	$112.20	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $169.82	Professional		$79.43	$91.20	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $123.03 / $158.49	Facility		$40.74	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $91.20 / $194.98	Professional		$43.65	$91.20	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $123.03	Professional		$79.43	$91.20	$123.03