Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $486.83 / $1,799.26	Facility		$135.28	$486.83	$1,799.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $128.22 / $400.48	Professional		$109.04	$128.22	$400.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $134.24 / $153.44	Professional		$113.06	$134.24	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $89.37 / $89.37	Facility		$89.37	$89.37	$89.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $164.57 / $341.74	Professional		$114.80	$164.57	$341.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $202.09 / $326.88	Professional		$151.94	$202.09	$326.88
United Facility/Professional Professional Modifier Low / Median / High Price $97.79 / $144.07 / $260.41	Professional		$97.79	$144.07	$260.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $174.74 / $215.07	Professional		$106.46	$174.74	$215.07