Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $78.77 / $139.49	Facility		$64.45	$78.77	$139.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $149.88 / $1,047.96	Professional		$135.07	$149.88	$1,047.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.33 / $165.93 / $858.87	Professional		$149.33	$165.93	$858.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $106.08 / $669.27	Facility		$106.08	$106.08	$669.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.91 / $214.74 / $567.10	Professional		$130.91	$214.74	$567.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $220.77 / $365.13	Professional		$171.14	$220.77	$365.13
United Facility/Professional Professional Modifier Low / Median / High Price $162.56 / $243.84 / $462.67	Professional		$162.56	$243.84	$462.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $184.54 / $241.83	Professional		$136.91	$184.54	$241.83