Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $2,290.87	Facility		$158.49	$158.49	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $537.03	Professional		$162.18	$234.42	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $263.03	Professional		$165.96	$181.97	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $575.44	Facility		$128.82	$158.49	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $426.58	Professional		$162.18	$245.47	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $380.19	Professional		$190.55	$269.15	$380.19
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 $151.36 / $229.09 / $407.38	Professional		$151.36	$229.09	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $363.08	Professional		$186.21	$288.40	$363.08