Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $404.71 / $1,906.42	Facility		$105.42	$404.71	$1,906.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $204.30 / $487.23	Professional		$72.98	$204.30	$487.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $82.42 / $123.63	Professional		$74.18	$82.42	$123.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $229.90 / $599.00	Facility		$195.00	$229.90	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $215.26 / $466.12	Professional		$72.25	$215.26	$466.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.75 / $333.55 / $511.05	Professional		$200.75	$333.55	$511.05
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 $182.64 / $270.89 / $486.49	Professional		$182.64	$270.89	$486.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $326.02 / $401.09	Professional		$182.01	$326.02	$401.09