Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $162.18	Professional		$61.66	$74.13	$162.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $75.86	Professional		$63.10	$69.18	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $190.55	Facility		$72.44	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $107.15	Professional		$63.10	$74.13	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $141.25	Professional		$45.71	$83.18	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $109.65	Professional		$74.13	$97.72	$109.65