Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $251.19	Facility		$114.82	$204.17	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $354.81	Professional		$48.98	$128.82	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $95.50	Professional		$35.48	$54.95	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $295.12	Professional		$100.00	$162.18	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $199.53	Professional		$131.83	$144.54	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $95.50 / $165.96	Facility		$32.36	$95.50	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $239.88	Professional		$117.49	$162.18	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86