Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.13 / $336.56 / $4,380.77	Facility		$282.13	$336.56	$4,380.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.58 / $241.38 / $934.00	Professional		$202.58	$241.38	$934.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $237.77 / $238.00 / $272.02	Professional		$237.77	$238.00	$272.02
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 $210.39 / $289.82 / $670.99	Professional		$210.39	$289.82	$670.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.11 / $296.74 / $473.16	Professional		$223.11	$296.74	$473.16
United Facility/Professional Professional Modifier Low / Median / High Price $191.30 / $256.49 / $533.47	Professional		$191.30	$256.49	$533.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $256.58 / $317.75	Professional		$170.89	$256.58	$317.75