Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $218.78 / $933.25	Facility		$74.13	$218.78	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $251.19	Professional		$57.54	$85.11	$251.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $109.65	Professional		$74.13	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $181.97	Facility		$72.44	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $147.91	Professional		$64.57	$85.11	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $144.54	Professional		$87.10	$104.71	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $109.65	Professional		$67.61	$91.20	$109.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $154.88	Professional		$69.18	$117.49	$154.88