Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $489.78	Facility		$138.04	$223.87	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $398.11	Professional		$64.57	$93.33	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $89.13	Professional		$42.66	$77.62	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $169.82	Professional		$58.88	$89.13	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $131.83	Professional		$79.43	$91.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $79.43	Facility		$25.70	$42.66	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $144.54	Professional		$63.10	$79.43	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $112.20	Professional		$64.57	$97.72	$112.20