Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $182.15 / $1,173.06	Facility		$114.48	$182.15	$1,173.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $125.90 / $290.39	Professional		$95.40	$125.90	$290.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $117.52	Professional		$85.25	$85.25	$117.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $58.94	Facility		$50.00	$50.00	$58.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.71 / $160.37 / $286.16	Professional		$98.71	$160.37	$286.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $172.41 / $234.81	Professional		$133.65	$172.41	$234.81
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 $110.34 / $159.21 / $304.33	Professional		$110.34	$159.21	$304.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.65 / $153.69 / $191.04	Professional		$133.65	$153.69	$191.04