Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.10 / $182.54 / $210.13	Facility		$170.10	$182.54	$210.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $104.57 / $107.39	Professional		$61.14	$104.57	$107.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $103.82 / $132.88	Professional		$92.29	$103.82	$132.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.14 / $79.48 / $152.00	Facility		$61.14	$79.48	$152.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $88.69 / $260.89	Professional		$47.53	$88.69	$260.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $144.19 / $173.04	Professional		$115.36	$144.19	$173.04
United Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $87.03 / $87.40	Facility		$54.80	$87.03	$87.40
United Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $69.22 / $104.98	Professional		$51.91	$69.22	$104.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $57.68 / $113.22	Professional		$44.99	$57.68	$113.22