Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.63 / $146.86 / $2,743.18	Facility		$136.63	$146.86	$2,743.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.20 / $119.70 / $197.27	Professional		$107.20	$119.70	$197.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $148.86 / $170.14	Professional		$129.08	$148.86	$170.14
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 $119.79 / $183.75 / $333.36	Professional		$119.79	$183.75	$333.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.34 / $180.00 / $290.61	Professional		$135.34	$180.00	$290.61
United Facility/Professional Professional Modifier Low / Median / High Price $111.02 / $159.88 / $266.70	Professional		$111.02	$159.88	$266.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $155.63 / $191.98	Professional		$129.84	$155.63	$191.98