Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.37 / $1,250.59 / $2,392.19	Facility		$106.37	$1,250.59	$2,392.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $135.00 / $420.80	Professional		$83.21	$135.00	$420.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $107.48 / $130.05	Professional		$88.33	$107.48	$130.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.18 / $398.18 / $398.18	Facility		$398.18	$398.18	$398.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.20 / $139.55 / $251.31	Professional		$86.20	$139.55	$251.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $169.27 / $297.87	Professional		$133.28	$169.27	$297.87
United Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $146.54 / $246.49	Professional		$101.67	$146.54	$246.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $187.80	Professional		$78.56	$78.56	$187.80