Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $691.83	Facility		$645.65	$645.65	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $177.83	Professional		$112.20	$131.83	$177.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $117.49 / $138.04	Professional		$51.29	$117.49	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $190.55	Facility		$79.43	$102.33	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $416.87	Professional		$79.43	$112.20	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $288.40	Professional		$147.91	$162.18	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $61.66 / $112.20	Facility		$29.51	$61.66	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $134.90	Professional		$66.07	$89.13	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $144.54 / $223.87	Professional		$57.54	$144.54	$223.87