Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.22 / $95.94 / $149.77	Facility		$42.22	$95.94	$149.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $163.55 / $180.99	Professional		$143.91	$163.55	$180.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $219.15 / $296.56	Professional		$196.25	$219.15	$296.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.57 / $115.97 / $222.65	Facility		$115.57	$115.97	$222.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $207.90 / $313.36	Professional		$115.57	$207.90	$313.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $272.58 / $327.08	Professional		$218.06	$272.58	$327.08
United Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $103.58 / $155.19	Facility		$103.58	$103.58	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $109.03 / $198.43	Professional		$91.59	$109.03	$198.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $87.22 / $109.03	Professional		$85.04	$87.22	$109.03