Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.70 / $951.52 / $3,390.10	Facility		$51.70	$951.52	$3,390.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $300.50 / $714.00	Professional		$130.34	$300.50	$714.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $198.39	Professional		$163.96	$163.96	$198.39
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 $133.54 / $251.82 / $507.10	Professional		$133.54	$251.82	$507.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $345.32 / $571.90	Professional		$259.64	$345.32	$571.90
United Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $327.52 / $614.70	Professional		$230.50	$327.52	$614.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $298.58 / $369.62	Professional		$236.42	$298.58	$369.62