Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.27 / $347.27 / $347.27	Facility		$347.27	$347.27	$347.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $183.43 / $416.28	Professional		$107.68	$183.43	$416.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $129.71 / $177.70	Professional		$98.79	$129.71	$177.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.04 / $139.86 / $599.00	Facility		$120.04	$139.86	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $188.42 / $361.28	Professional		$112.30	$188.42	$361.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.56 / $226.53 / $328.20	Professional		$161.56	$226.53	$328.20
United Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $478.00 / $1,330.00	Facility		$398.00	$478.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $197.26 / $334.00	Professional		$142.88	$197.26	$334.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $223.34 / $275.89	Professional		$138.86	$223.34	$275.89