Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.29 / $393.91 / $847.98	Facility		$75.29	$393.91	$847.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $241.09 / $325.80	Professional		$162.90	$241.09	$325.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $228.06 / $310.16	Professional		$108.00	$228.06	$310.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $214.13 / $421.61	Facility		$172.67	$214.13	$421.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $202.88 / $467.72	Professional		$86.96	$202.88	$467.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $407.25 / $488.70	Professional		$325.80	$407.25	$488.70
United Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $146.61 / $199.39	Professional		$63.55	$146.61	$199.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $162.90 / $259.01	Professional		$127.06	$162.90	$259.01