Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $528.28 / $1,689.12	Facility		$127.96	$528.28	$1,689.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $177.82 / $358.19	Professional		$109.16	$177.82	$358.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $125.55 / $172.00	Professional		$125.55	$125.55	$172.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.60 / $152.54 / $437.00	Facility		$134.60	$152.54	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.68 / $202.16 / $386.55	Professional		$114.68	$202.16	$386.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $261.62 / $375.07	Professional		$178.38	$261.62	$375.07
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 $153.21 / $221.31 / $407.31	Professional		$153.21	$221.31	$407.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $253.91 / $312.62	Professional		$147.63	$253.91	$312.62