Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.26 / $332.98 / $4,137.27	Facility		$236.26	$332.98	$4,137.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $229.72 / $530.04	Professional		$161.18	$229.72	$530.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $179.42 / $278.10	Professional		$179.31	$179.42	$278.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,441.78 / $2,213.00	Facility		$508.00	$1,441.78	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $249.94 / $456.28	Professional		$164.39	$249.94	$456.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.99 / $286.57 / $416.83	Professional		$209.99	$286.57	$416.83
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $256.54 / $462.19	Professional		$189.62	$256.54	$462.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.62 / $279.83 / $345.36	Professional		$182.62	$279.83	$345.36