Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $76.93 / $3,344.95	Facility		$76.93	$76.93	$3,344.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $146.68 / $372.14	Professional		$105.68	$146.68	$372.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $129.94 / $178.03	Professional		$125.87	$129.94	$178.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $97.92 / $437.00	Facility		$86.40	$97.92	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $167.16 / $320.58	Professional		$110.47	$167.16	$320.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $178.67 / $257.00	Professional		$129.94	$178.67	$257.00
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $167.02 / $299.95	Professional		$121.89	$167.02	$299.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $173.67 / $214.83	Professional		$121.89	$173.67	$214.83