Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.56 / $546.24 / $4,354.83	Facility		$197.56	$546.24	$4,354.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.81 / $395.52 / $1,164.91	Professional		$170.81	$395.52	$1,164.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $184.59 / $257.50	Professional		$173.67	$184.59	$257.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $375.40 / $806.77	Professional		$175.74	$375.40	$806.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.65 / $490.40 / $901.64	Professional		$379.65	$490.40	$901.64
United Facility/Professional Professional Modifier Low / Median / High Price $301.66 / $433.98 / $724.48	Professional		$301.66	$433.98	$724.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.63 / $436.60 / $539.28	Professional		$264.63	$436.60	$539.28