Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $72.44 / $151.36	Facility		$66.07	$72.44	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $109.65 / $309.03	Professional		$52.48	$109.65	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $72.44	Professional		$52.48	$58.88	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $213.80	Professional		$57.54	$107.15	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $223.87	Professional		$123.03	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $104.71	Facility		$36.31	$40.74	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $194.98	Professional		$52.48	$102.33	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $190.55	Professional		$112.20	$151.36	$190.55