Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.35 / $322.39 / $633.29	Facility		$164.35	$322.39	$633.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $93.21 / $390.00	Professional		$66.95	$93.21	$390.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $76.00 / $91.40	Professional		$61.60	$76.00	$91.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $92.55 / $188.49	Facility		$72.00	$92.55	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $115.77 / $216.59	Professional		$87.32	$115.77	$216.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $118.82 / $167.76	Professional		$98.42	$118.82	$167.76
United Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $97.58 / $151.94	Professional		$73.43	$97.58	$151.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $89.47 / $162.19	Professional		$77.40	$89.47	$162.19