Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.41 / $257.07 / $1,284.16	Facility		$177.41	$257.07	$1,284.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $224.96 / $609.12	Professional		$134.97	$224.96	$609.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $168.40 / $200.16	Professional		$110.30	$168.40	$200.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.21 / $693.21 / $693.21	Facility		$693.21	$693.21	$693.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.84 / $252.83 / $497.65	Professional		$151.84	$252.83	$497.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.74 / $292.51 / $520.82	Professional		$192.74	$292.51	$520.82
United Facility/Professional Professional Modifier Low / Median / High Price $178.24 / $254.64 / $438.34	Professional		$178.24	$254.64	$438.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $260.76 / $321.33	Professional		$182.79	$260.76	$321.33