Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $586.66 / $2,052.78	Facility		$19.68	$586.66	$2,052.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $133.26 / $320.75	Professional		$83.47	$133.26	$320.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $97.63 / $151.33	Professional		$91.13	$97.63	$151.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $667.46 / $1,121.33	Facility		$376.00	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $162.28 / $403.29	Professional		$87.76	$162.28	$403.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $301.22 / $392.90	Professional		$196.45	$301.22	$392.90
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 $95.37 / $148.79 / $292.33	Professional		$95.37	$148.79	$292.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $301.22 / $370.91	Professional		$111.89	$301.22	$370.91