Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.18 / $361.37 / $1,375.38	Facility		$145.18	$361.37	$1,375.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $207.77 / $517.66	Professional		$111.56	$207.77	$517.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.84 / $128.72 / $212.39	Professional		$115.84	$128.72	$212.39
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 $119.42 / $223.76 / $439.62	Professional		$119.42	$223.76	$439.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.24 / $303.23 / $449.23	Professional		$192.24	$303.23	$449.23
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 $126.10 / $221.76 / $404.30	Professional		$126.10	$221.76	$404.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.64 / $298.56 / $367.32	Professional		$165.64	$298.56	$367.32