Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.62 / $615.26 / $3,413.63	Facility		$57.62	$615.26	$3,413.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $272.56 / $678.05	Professional		$2.06	$272.56	$678.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.39 / $165.39 / $202.42	Professional		$165.39	$165.39	$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 $134.63 / $255.68 / $525.66	Professional		$134.63	$255.68	$525.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.61 / $350.60 / $591.78	Professional		$263.61	$350.60	$591.78
United Facility/Professional Professional Modifier Low / Median / High Price $239.20 / $336.21 / $502.74	Professional		$239.20	$336.21	$502.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $303.14 / $376.11	Professional		$240.83	$303.14	$376.11