Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $3,311.31	Facility		$77.62	$77.62	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $354.81	Professional		$107.15	$151.36	$354.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $177.83	Professional		$109.65	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $380.19	Facility		$87.10	$97.72	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $302.00	Professional		$107.15	$162.18	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $239.88	Professional		$123.03	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $257.04	Professional		$100.00	$147.91	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $229.09	Professional		$123.03	$181.97	$229.09