Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.91 / $303.95 / $3,943.78	Facility		$200.91	$303.95	$3,943.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $213.60 / $572.44	Professional		$159.61	$213.60	$572.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $200.67 / $228.47	Professional		$194.34	$200.67	$228.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $266.20 / $578.86	Professional		$180.20	$266.20	$578.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $331.76 / $552.37	Professional		$257.18	$331.76	$552.37
United Facility/Professional Professional Modifier Low / Median / High Price $179.57 / $256.79 / $449.29	Professional		$179.57	$256.79	$449.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $295.76 / $364.28	Professional		$190.40	$295.76	$364.28