Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $199.53	Professional		$91.20	$112.20	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $114.82	Professional		$43.65	$100.00	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $162.18	Facility		$66.07	$85.11	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $309.03	Professional		$63.10	$95.50	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $245.47	Professional		$125.89	$138.04	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $95.50	Facility		$52.48	$60.26	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $114.82	Professional		$56.23	$74.13	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $123.03 / $186.21	Professional		$48.98	$123.03	$186.21