Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $319.01 / $678.44	Facility		$168.31	$319.01	$678.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $92.02 / $369.00	Professional		$62.02	$92.02	$369.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $77.29 / $92.88	Professional		$58.90	$77.29	$92.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $97.00 / $188.49	Facility		$72.00	$97.00	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $117.37 / $219.32	Professional		$88.44	$117.37	$219.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.33 / $121.12 / $171.02	Professional		$100.33	$121.12	$171.02
United Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $99.76 / $155.63	Professional		$74.41	$99.76	$155.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $91.21 / $165.14	Professional		$74.00	$91.21	$165.14