Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $645.65 / $1,202.26	Facility		$371.54	$645.65	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $208.93	Professional		$51.29	$95.50	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $83.18	Professional		$52.48	$57.54	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $67.61 / $380.19	Facility		$60.26	$67.61	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $186.21	Professional		$53.70	$100.00	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $151.36	Professional		$70.79	$109.65	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $1,000.00	Facility		$213.80	$331.13	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $169.82	Professional		$50.12	$93.33	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $144.54	Professional		$63.10	$114.82	$144.54