Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.90 / $229.00 / $5,451.36	Facility		$88.90	$229.00	$5,451.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $175.85 / $427.62	Professional		$78.44	$175.85	$427.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $88.34 / $151.94	Professional		$82.22	$88.34	$151.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $514.04 / $891.79	Facility		$376.00	$514.04	$891.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $163.74 / $348.73	Professional		$81.67	$163.74	$348.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.13 / $227.03 / $344.08	Professional		$152.13	$227.03	$344.08
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $190.25 / $343.62	Professional		$142.27	$190.25	$343.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.31 / $223.17 / $275.48	Professional		$125.31	$223.17	$275.48