Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $1,071.52	Facility		$74.13	$154.88	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $371.54	Professional		$69.18	$144.54	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $91.20	Professional		$63.10	$75.86	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $281.84	Professional		$69.18	$144.54	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $269.15	Professional		$128.82	$173.78	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $239.88	Professional		$63.10	$123.03	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $234.42	Professional		$112.20	$194.98	$234.42