Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $562.34 / $676.08	Facility		$208.93	$562.34	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $208.93	Professional		$60.26	$91.20	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $107.15	Professional		$87.10	$97.72	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $97.72 / $120.23	Facility		$72.44	$97.72	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $218.78	Professional		$91.20	$117.49	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $165.96	Professional		$100.00	$117.49	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $173.78	Professional		$75.86	$102.33	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $169.82	Professional		$74.13	$134.90	$169.82