Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.89 / $168.65 / $4,055.19	Facility		$92.89	$168.65	$4,055.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $170.30 / $284.68	Professional		$95.98	$170.30	$284.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $111.88 / $251.39	Professional		$109.58	$111.88	$251.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.48 / $89.48 / $507.00	Facility		$89.48	$89.48	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $249.88 / $479.49	Professional		$97.57	$249.88	$479.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $225.66 / $476.26	Professional		$174.93	$225.66	$476.26
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 $207.68 / $297.95 / $531.04	Professional		$207.68	$297.95	$531.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $201.17 / $250.20	Professional		$174.93	$201.17	$250.20