Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $117.38 / $4,981.96	Facility		$0.98	$117.38	$4,981.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.17 / $370.31	Professional		$77.62	$208.17	$370.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $80.45 / $117.46	Professional		$72.41	$80.45	$117.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $650.00 / $2,277.00	Facility		$624.00	$650.00	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $161.38 / $363.89	Professional		$71.30	$161.38	$363.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.28 / $224.19 / $326.29	Professional		$118.28	$224.19	$326.29
United Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $138.66 / $345.14	Facility		$53.00	$138.66	$345.14
United Facility/Professional Professional Modifier Low / Median / High Price $175.36 / $247.79 / $391.05	Professional		$175.36	$247.79	$391.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $203.01 / $249.56	Professional		$74.56	$203.01	$249.56