Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $105.82 / $291.75	Facility		$67.66	$105.82	$291.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.67 / $153.18 / $241.94	Professional		$126.67	$153.18	$241.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $211.55	Professional		$166.00	$166.00	$211.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $216.42	Professional		$157.99	$157.99	$216.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $309.48 / $445.65	Professional		$216.64	$309.48	$445.65
United Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $153.02 / $180.13	Facility		$104.66	$153.02	$180.13
United Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $154.40 / $246.10	Professional		$130.86	$154.40	$246.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $185.41 / $216.64	Professional		$105.00	$185.41	$216.64