Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.06 / $97.78 / $336.00	Facility		$58.06	$97.78	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $95.06 / $168.17	Professional		$76.30	$95.06	$168.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $104.09 / $127.44	Professional		$104.09	$104.09	$127.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $106.63	Professional		$77.84	$77.84	$106.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $186.43 / $268.45	Professional		$130.50	$186.43	$268.45
United Facility/Professional Professional Modifier Low / Median / High Price $72.16 / $93.01 / $148.26	Professional		$72.16	$93.01	$148.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $102.24 / $130.50	Professional		$64.50	$102.24	$130.50