Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.28 / $955.62 / $4,765.60	Facility		$110.28	$955.62	$4,765.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $212.58 / $620.22	Professional		$55.42	$212.58	$620.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $62.43 / $68.67	Professional		$57.30	$62.43	$68.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $158.41 / $438.41	Professional		$57.16	$158.41	$438.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.88 / $285.55 / $430.39	Professional		$219.88	$285.55	$430.39
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $310.95 / $506.31	Professional		$196.68	$310.95	$506.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $221.36 / $254.56 / $314.12	Professional		$221.36	$254.56	$314.12