Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.23 / $386.04 / $391.12	Facility		$366.23	$386.04	$391.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $60.59 / $141.56	Professional		$40.93	$60.59	$141.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $65.50 / $89.08	Professional		$58.95	$65.50	$89.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $53.82 / $105.96	Facility		$43.40	$53.82	$105.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $78.04 / $121.90	Professional		$37.29	$78.04	$121.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $102.35 / $122.82	Professional		$81.88	$102.35	$122.82
United Facility/Professional Facility Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Facility		$34.39	$34.39	$34.39
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.95 / $74.51	Professional		$34.39	$39.95	$74.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $40.94 / $67.92	Professional		$31.93	$40.94	$67.92