Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $1,749.91 / $5,157.72	Facility		$171.78	$1,749.91	$5,157.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $274.56 / $735.82	Professional		$155.69	$274.56	$735.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $183.40 / $209.63	Professional		$183.40	$183.40	$209.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.31 / $835.31 / $835.31	Facility		$835.31	$835.31	$835.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $278.02 / $519.38	Professional		$161.19	$278.02	$519.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $334.30 / $579.30	Professional		$259.14	$334.30	$579.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.82 / $304.70 / $533.86	Professional		$213.82	$304.70	$533.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.62 / $298.02 / $367.91	Professional		$201.62	$298.02	$367.91