Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $290.64 / $8,738.78	Facility		$183.37	$290.64	$8,738.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $245.34 / $399.13	Professional		$163.71	$245.34	$399.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.80 / $178.06 / $242.16	Professional		$167.80	$178.06	$242.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.02 / $182.95 / $599.00	Facility		$157.02	$182.95	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.28 / $275.26 / $485.11	Professional		$171.28	$275.26	$485.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $304.88 / $462.16	Professional		$223.35	$304.88	$462.16
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 $211.56 / $297.51 / $537.75	Professional		$211.56	$297.51	$537.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $300.98 / $372.26	Professional		$223.80	$300.98	$372.26