Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.01 / $155.25 / $738.00	Facility		$78.01	$155.25	$738.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $80.67 / $167.66	Professional		$64.26	$80.67	$167.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $88.29 / $113.01	Professional		$88.29	$88.29	$113.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $91.18 / $188.49	Facility		$72.00	$91.18	$188.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $97.29 / $168.11	Professional		$67.14	$97.29	$168.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $93.77 / $131.72	Professional		$74.65	$93.77	$131.72
United Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $98.80 / $168.00	Professional		$70.62	$98.80	$168.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $81.43 / $126.85	Professional		$71.22	$81.43	$126.85