Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.28 / $815.28 / $1,771.84	Facility		$815.28	$815.28	$1,771.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.84 / $240.93 / $616.50	Professional		$184.84	$240.93	$616.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $256.92 / $288.33	Professional		$183.00	$256.92	$288.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $295.08 / $567.21	Professional		$207.29	$295.08	$567.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $319.91 / $423.84	Professional		$247.99	$319.91	$423.84
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $236.63 / $432.09	Professional		$172.67	$236.63	$432.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $285.19 / $350.07	Professional		$192.04	$285.19	$350.07