Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $38.09 / $38.09	Facility		$38.09	$38.09	$38.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $163.11 / $353.54	Professional		$122.81	$163.11	$353.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $143.08 / $181.71	Professional		$142.08	$143.08	$181.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $86.12 / $641.21	Facility		$50.00	$86.12	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.27 / $210.26 / $386.88	Professional		$136.27	$210.26	$386.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $246.70 / $369.16	Professional		$188.01	$246.70	$369.16
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 $138.01 / $205.19 / $361.72	Professional		$138.01	$205.19	$361.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.72 / $219.93 / $268.58	Professional		$179.72	$219.93	$268.58