Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.71 / $234.62 / $453.75	Facility		$165.71	$234.62	$453.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $273.86 / $582.46	Professional		$148.47	$273.86	$582.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $177.35 / $218.32	Professional		$177.35	$177.35	$218.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $668.69	Facility		$445.00	$453.73	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $286.45 / $633.25	Professional		$159.61	$286.45	$633.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $313.33 / $404.21 / $549.19	Professional		$313.33	$404.21	$549.19
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 $221.37 / $315.54 / $572.28	Professional		$221.37	$315.54	$572.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $360.34 / $443.07	Professional		$256.20	$360.34	$443.07