Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.52 / $572.58 / $572.58	Facility		$496.52	$572.58	$572.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $83.02 / $177.05	Professional		$36.32	$83.02	$177.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $44.72 / $50.54	Professional		$44.72	$44.72	$50.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $330.00 / $641.21	Facility		$55.28	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $82.79 / $178.17	Professional		$39.34	$82.79	$178.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $117.76 / $164.02	Professional		$90.48	$117.76	$164.02
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 $41.55 / $77.38 / $155.02	Professional		$41.55	$77.38	$155.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $104.98 / $129.26	Professional		$62.14	$104.98	$129.26