Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.43 / $545.54 / $1,810.11	Facility		$250.43	$545.54	$1,810.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $192.18 / $563.38	Professional		$132.90	$192.18	$563.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $148.19 / $201.54	Professional		$145.00	$148.19	$201.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $135.54 / $437.00	Facility		$116.33	$135.54	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $209.69 / $398.69	Professional		$137.19	$209.69	$398.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $236.90 / $338.32	Professional		$172.29	$236.90	$338.32
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $214.40 / $375.54	Professional		$157.63	$214.40	$375.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.76 / $230.49 / $284.04	Professional		$152.76	$230.49	$284.04