Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $963.95 / $4,071.03	Facility		$260.08	$963.95	$4,071.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.72 / $286.50 / $968.16	Professional		$195.72	$286.50	$968.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.39 / $208.11 / $248.26	Professional		$182.39	$208.11	$248.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.87 / $666.87 / $666.87	Facility		$666.87	$666.87	$666.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $274.86 / $573.52	Professional		$190.76	$274.86	$573.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.33 / $295.83 / $506.35	Professional		$229.33	$295.83	$506.35
United Facility/Professional Professional Modifier Low / Median / High Price $211.10 / $282.49 / $433.65	Professional		$211.10	$282.49	$433.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.92 / $198.92 / $325.13	Professional		$198.92	$198.92	$325.13