Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $147.91	Facility		$75.86	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $562.34	Professional		$141.25	$190.55	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $173.78 / $223.87	Professional		$57.54	$173.78	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $676.08	Facility		$269.15	$269.15	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $616.60	Professional		$138.04	$234.42	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $323.59	Professional		$186.21	$208.93	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $204.17 / $467.74	Facility		$50.12	$204.17	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $489.78	Professional		$154.88	$245.47	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $275.42	Professional		$177.83	$213.80	$275.42