Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $630.96 / $645.65	Facility		$95.50	$630.96	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $446.68	Professional		$107.15	$154.88	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $151.36	Professional		$112.20	$123.03	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $645.65	Facility		$50.12	$79.43	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $323.59	Professional		$117.49	$173.78	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $309.03	Professional		$173.78	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $158.49	Facility		$109.65	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $281.84	Professional		$104.71	$162.18	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $257.04	Professional		$154.88	$208.93	$257.04