Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.11 / $287.08 / $3,538.04	Facility		$140.11	$287.08	$3,538.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $179.31 / $688.85	Professional		$119.84	$179.31	$688.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $166.32 / $229.83	Professional		$149.68	$166.32	$229.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $80.15 / $80.15	Facility		$80.15	$80.15	$80.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $204.70 / $403.00	Professional		$130.94	$204.70	$403.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.33 / $226.18 / $380.53	Professional		$175.33	$226.18	$380.53
United Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $199.90 / $342.97	Professional		$138.91	$199.90	$342.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $201.63 / $248.67	Professional		$151.66	$201.63	$248.67