Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.94 / $563.84 / $992.12	Facility		$89.94	$563.84	$992.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $97.42 / $519.00	Professional		$83.89	$97.42	$519.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $105.08 / $147.66	Professional		$94.57	$105.08	$147.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.57 / $104.57 / $104.57	Facility		$104.57	$104.57	$104.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $116.74 / $227.70	Professional		$78.62	$116.74	$227.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $128.55 / $184.47	Professional		$102.70	$128.55	$184.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.11 / $103.36 / $196.63	Professional		$75.11	$103.36	$196.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $118.10 / $146.19	Professional		$70.79	$118.10	$146.19