Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $504.74 / $2,760.37	Facility		$111.02	$504.74	$2,760.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $191.64 / $680.00	Professional		$136.09	$191.64	$680.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $149.36 / $197.31	Professional		$149.02	$149.36	$197.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Facility		$350.42	$350.42	$350.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $192.58 / $352.59	Professional		$136.84	$192.58	$352.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.47 / $218.62 / $374.63	Professional		$169.47	$218.62	$374.63
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $194.32 / $394.28	Professional		$147.19	$194.32	$394.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $130.52 / $240.89	Professional		$130.52	$130.52	$240.89