Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $457.09 / $2,398.83	Facility		$6.17	$457.09	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $426.58	Professional		$128.82	$181.97	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $151.36 / $173.78	Professional		$37.15	$151.36	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $239.88	Facility		$93.33	$109.65	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $338.84	Professional		$83.18	$154.88	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $275.42	Professional		$147.91	$190.55	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $165.96	Facility		$23.99	$42.66	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $158.49 / $288.40	Professional		$67.61	$158.49	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $245.47	Professional		$131.83	$208.93	$245.47