Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.56 / $241.81 / $2,190.23	Facility		$226.56	$241.81	$2,190.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $224.15 / $566.33	Professional		$169.08	$224.15	$566.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $217.20 / $357.47	Professional		$216.65	$217.20	$357.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,441.78 / $2,470.35	Facility		$629.00	$1,441.78	$2,470.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $248.22 / $440.83	Professional		$175.55	$248.22	$440.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.06 / $252.61 / $358.64	Professional		$192.06	$252.61	$358.64
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 $161.41 / $216.78 / $388.66	Professional		$161.41	$216.78	$388.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.05 / $242.09 / $299.02	Professional		$146.05	$242.09	$299.02