Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.18 / $228.48 / $642.66	Facility		$68.18	$228.48	$642.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $140.13 / $388.22	Professional		$105.58	$140.13	$388.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $124.13 / $157.65	Professional		$123.50	$124.13	$157.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $79.09 / $641.21	Facility		$50.00	$79.09	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $180.53 / $333.56	Professional		$119.25	$180.53	$333.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $220.42 / $313.23	Professional		$167.77	$220.42	$313.23
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $174.33 / $312.50	Professional		$127.33	$174.33	$312.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.30 / $196.50 / $239.67	Professional		$155.30	$196.50	$239.67