Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $762.03 / $988.76	Facility		$627.98	$762.03	$988.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $217.79 / $586.38	Professional		$129.02	$217.79	$586.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.72 / $151.72 / $176.59	Professional		$151.72	$151.72	$176.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $128.25 / $128.25	Facility		$128.25	$128.25	$128.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $213.53 / $402.00	Professional		$125.56	$213.53	$402.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $270.95 / $453.82	Professional		$203.72	$270.95	$453.82
United Facility/Professional Professional Modifier Low / Median / High Price $170.39 / $240.57 / $388.41	Professional		$170.39	$240.57	$388.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.66 / $234.28 / $289.47	Professional		$166.66	$234.28	$289.47