Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.96 / $150.80 / $2,315.56	Facility		$84.96	$150.80	$2,315.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $160.22 / $331.02	Professional		$68.27	$160.22	$331.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $74.45 / $100.18	Professional		$74.45	$74.45	$100.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $176.99 / $359.79	Professional		$73.06	$176.99	$359.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $229.98 / $349.26	Professional		$103.21	$229.98	$349.26
United Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $211.46 / $390.68	Professional		$157.08	$211.46	$390.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $166.62 / $276.82	Professional		$76.83	$166.62	$276.82