Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.74 / $587.74 / $587.74	Facility		$587.74	$587.74	$587.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $92.87 / $94.13	Professional		$66.51	$92.87	$94.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $115.86 / $186.32	Professional		$101.66	$115.86	$186.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $86.02 / $162.41	Facility		$66.52	$86.02	$162.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $117.71 / $203.31	Professional		$63.60	$117.71	$203.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $156.88 / $188.25	Professional		$125.50	$156.88	$188.25
United Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $75.30 / $100.50	Professional		$56.48	$75.30	$100.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $62.75 / $123.18	Professional		$48.95	$62.75	$123.18