Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $298.58 / $2,522.01	Facility		$228.40	$298.58	$2,522.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $230.48 / $482.05	Professional		$173.40	$230.48	$482.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $193.35 / $219.04	Professional		$190.73	$193.35	$219.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.56 / $1,034.56 / $1,034.56	Facility		$1,034.56	$1,034.56	$1,034.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $266.14 / $568.42	Professional		$181.56	$266.14	$568.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $310.95 / $507.55	Professional		$233.80	$310.95	$507.55
United Facility/Professional Professional Modifier Low / Median / High Price $194.87 / $259.60 / $479.45	Professional		$194.87	$259.60	$479.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.66 / $268.87 / $333.18	Professional		$174.66	$268.87	$333.18