Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.73 / $86.49 / $650.96	Facility		$65.73	$86.49	$650.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $70.26 / $112.71	Professional		$61.99	$70.26	$112.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $69.34 / $73.01	Professional		$62.40	$69.34	$73.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $77.00 / $188.49	Facility		$72.00	$77.00	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $87.01 / $148.84	Professional		$60.52	$87.01	$148.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $79.29 / $111.98	Professional		$67.19	$79.29	$111.98
United Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $92.10 / $163.79	Professional		$62.02	$92.10	$163.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $85.85 / $108.12	Professional		$60.73	$85.85	$108.12