Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $562.34 / $562.34	Facility		$173.78	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $954.99	Professional		$269.15	$346.74	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $426.58	Professional		$295.12	$346.74	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $446.68 / $457.09	Facility		$123.03	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $776.25	Professional		$281.84	$389.05	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $691.83	Professional		$398.11	$457.09	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $281.84	Facility		$36.31	$40.74	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $645.65	Professional		$239.88	$346.74	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $562.34	Professional		$288.40	$457.09	$562.34