Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.31 / $499.68 / $1,192.17	Facility		$256.31	$499.68	$1,192.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $96.34 / $163.34	Professional		$51.56	$96.34	$163.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $61.57 / $84.35	Professional		$48.86	$61.57	$84.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.72 / $67.68 / $437.00	Facility		$59.72	$67.68	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $102.25 / $195.06	Professional		$55.13	$102.25	$195.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $115.80 / $179.42	Professional		$78.95	$115.80	$179.42
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $120.96 / $195.24	Professional		$88.96	$120.96	$195.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.92 / $112.00 / $138.72	Professional		$84.92	$112.00	$138.72