Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $386.04 / $398.90	Facility		$365.10	$386.04	$398.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $70.68 / $165.14	Professional		$47.75	$70.68	$165.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $76.42 / $103.93	Professional		$68.77	$76.42	$103.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $62.78 / $123.61	Facility		$50.63	$62.78	$123.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.55 / $90.99 / $141.93	Professional		$43.55	$90.99	$141.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $119.40 / $143.28	Professional		$95.52	$119.40	$143.28
United Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $58.71 / $60.91	Facility		$45.37	$58.71	$60.91
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $46.62 / $86.92	Professional		$42.98	$46.62	$86.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $47.76 / $79.25	Professional		$37.25	$47.76	$79.25