Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $114.82	Professional		$67.61	$77.62	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $75.86 / $87.10	Professional		$23.44	$75.86	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $123.03	Facility		$50.12	$63.10	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $489.78	Professional		$43.65	$61.66	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $144.54	Professional		$95.50	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $89.13	Facility		$39.81	$45.71	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $89.13	Professional		$42.66	$47.86	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $144.54	Professional		$37.15	$79.43	$144.54