Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $174.38 / $986.99	Facility		$36.28	$174.38	$986.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $86.01 / $244.38	Professional		$65.16	$86.01	$244.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.39 / $76.34 / $96.95	Professional		$73.39	$76.34	$96.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $110.24 / $199.04	Professional		$70.58	$110.24	$199.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.46 / $125.66 / $189.49	Professional		$96.46	$125.66	$189.49
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 $77.13 / $110.84 / $218.05	Professional		$77.13	$110.84	$218.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $112.02 / $137.81	Professional		$94.77	$112.02	$137.81