Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $977.24 / $3,548.13	Facility		$234.42	$977.24	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $851.14	Professional		$194.98	$338.84	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $275.42	Professional		$181.97	$204.17	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $588.84	Professional		$186.21	$275.42	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $446.68	Professional		$239.88	$269.15	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $457.09	Professional		$181.97	$263.03	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $363.08	Professional		$199.53	$275.42	$363.08