Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $120.23	Facility		$81.28	$89.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $346.74	Professional		$83.18	$134.90	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $199.53	Professional		$79.43	$85.11	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $229.09	Professional		$87.10	$147.91	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $204.17	Professional		$87.10	$117.49	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $218.78	Professional		$89.13	$134.90	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $151.36	Professional		$102.33	$117.49	$151.36