Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.29 / $158.29 / $158.29	Facility		$158.29	$158.29	$158.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $100.54 / $125.04	Professional		$72.01	$100.54	$125.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $109.02 / $124.28	Professional		$67.43	$109.02	$124.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $89.29 / $175.82	Facility		$45.30	$89.29	$175.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $144.32 / $475.71	Professional		$45.30	$144.32	$475.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $169.83 / $203.79	Professional		$135.86	$169.83	$203.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $67.93 / $103.25	Professional		$40.86	$67.93	$103.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $67.93 / $133.35	Professional		$52.99	$67.93	$133.35