Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $226.27 / $496.52	Facility		$38.86	$226.27	$496.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $117.46 / $297.50	Professional		$87.55	$117.46	$297.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $255.87 / $255.87 / $255.87	Professional	52	$255.87	$255.87	$255.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $121.48 / $154.28	Professional		$103.44	$121.48	$154.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $78.79 / $641.21	Facility		$50.00	$78.79	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $149.90 / $287.91	Professional		$105.49	$149.90	$287.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $181.19 / $252.63	Professional		$137.32	$181.19	$252.63
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $135.44 / $247.99	Professional		$90.97	$135.44	$247.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $161.53 / $196.17	Professional		$107.00	$161.53	$196.17