Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $194.98 / $2,041.74	Facility		$19.50	$194.98	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $363.08	Professional		$85.11	$154.88	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $141.25	Professional		$81.28	$89.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $851.14	Facility		$380.19	$602.56	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $389.05	Professional		$87.10	$154.88	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $316.23 / $426.58	Professional		$162.18	$316.23	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $251.19	Professional		$79.43	$131.83	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $346.74 / $426.58	Professional		$104.71	$346.74	$426.58