Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $2,270.52	Facility		$157.00	$157.00	$2,270.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $228.30 / $536.66	Professional		$159.43	$228.30	$536.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $195.12 / $267.31	Professional		$145.66	$195.12	$267.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $153.57 / $599.00	Facility		$135.51	$153.57	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $253.46 / $457.00	Professional		$166.52	$253.46	$457.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.66 / $281.83 / $405.89	Professional		$207.66	$281.83	$405.89
United Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $478.00 / $1,316.00	Facility		$398.00	$478.00	$1,316.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $267.52 / $467.49	Professional		$191.58	$267.52	$467.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $279.60 / $345.48	Professional		$187.32	$279.60	$345.48