Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $371.71 / $1,690.91	Facility		$27.11	$371.71	$1,690.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $294.33 / $667.10	Professional		$129.63	$294.33	$667.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.53 / $164.53 / $202.42	Professional		$164.53	$164.53	$202.42
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 $132.41 / $273.24 / $568.45	Professional		$132.41	$273.24	$568.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $364.91 / $637.78	Professional		$282.02	$364.91	$637.78
United Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $377.15 / $661.90	Professional		$256.13	$377.15	$661.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.89 / $324.32 / $402.26	Professional		$259.89	$324.32	$402.26