Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $2,392.17	Facility		$18.80	$18.80	$2,392.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $156.10 / $418.47	Professional		$103.27	$156.10	$418.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $121.89 / $139.33	Professional		$117.96	$121.89	$139.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.52 / $1,014.52 / $1,014.52	Facility		$1,014.52	$1,014.52	$1,014.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $172.67 / $343.17	Professional		$106.26	$172.67	$343.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $198.52 / $340.12	Professional		$153.88	$198.52	$340.12
United Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $169.48 / $291.82	Professional		$129.16	$169.48	$291.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $176.97 / $219.66	Professional		$112.38	$176.97	$219.66