Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $89.83 / $529.33	Facility		$55.39	$89.83	$529.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.11 / $56.15	Professional		$52.40	$54.11	$56.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.37 / $74.86 / $101.81	Professional		$67.37	$74.86	$101.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $50.68 / $96.88	Facility		$39.68	$50.68	$96.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.96 / $71.25 / $124.08	Professional		$37.96	$71.25	$124.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $93.58 / $112.29	Professional		$74.86	$93.58	$112.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.69 / $42.83 / $56.89	Professional		$33.69	$42.83	$56.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $37.43 / $73.47	Professional		$29.20	$37.43	$73.47