Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.29 / $2,136.26 / $2,732.57	Facility		$1,324.29	$2,136.26	$2,732.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $72.70 / $205.85	Professional		$58.57	$72.70	$205.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $61.76 / $70.40	Professional		$61.59	$61.76	$70.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.82 / $137.82 / $137.82	Facility		$137.82	$137.82	$137.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $87.99 / $182.17	Professional		$58.49	$87.99	$182.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $96.09 / $151.55	Professional		$72.25	$96.09	$151.55
United Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $84.08 / $138.16	Professional		$61.94	$84.08	$138.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $83.09 / $102.99	Professional		$56.97	$83.09	$102.99