Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $193.00 / $2,532.37	Facility		$114.39	$193.00	$2,532.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.08 / $163.55 / $512.79	Professional		$95.08	$163.55	$512.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $127.18 / $145.36	Professional		$88.07	$127.18	$145.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $114.70 / $114.70	Facility		$114.70	$114.70	$114.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $180.00 / $364.83	Professional		$103.30	$180.00	$364.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $247.58 / $411.42	Professional		$191.92	$247.58	$411.42
United Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $177.83 / $316.22	Professional		$114.17	$177.83	$316.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $220.71 / $271.83	Professional		$122.92	$220.71	$271.83