Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $426.58 / $851.14	Facility		$75.86	$426.58	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $758.58	Professional		$109.65	$263.03	$758.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $234.42 / $302.00	Professional		$38.02	$234.42	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $213.80 / $416.87	Facility		$173.78	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $1,659.59	Professional		$81.28	$173.78	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $489.78	Professional		$323.59	$354.81	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $245.47	Facility		$83.18	$138.04	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $218.78	Professional		$63.10	$147.91	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $257.04 / $489.78	Professional		$125.89	$257.04	$489.78