Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.47 / $532.28 / $1,161.52	Facility		$307.47	$532.28	$1,161.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $248.68 / $638.72	Professional		$144.22	$248.68	$638.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $135.13 / $173.74 / $191.11	Professional		$135.13	$173.74	$191.11
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 $150.25 / $267.02 / $564.26	Professional		$150.25	$267.02	$564.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $354.94 / $475.62	Professional		$273.26	$354.94	$475.62
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 $164.15 / $254.37 / $506.95	Professional		$164.15	$254.37	$506.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $316.42 / $390.38	Professional		$237.73	$316.42	$390.38