Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.67 / $403.65 / $2,136.78	Facility		$336.67	$403.65	$2,136.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $148.18 / $574.19	Professional		$91.32	$148.18	$574.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $134.85 / $163.16	Professional		$119.38	$134.85	$163.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.30 / $86.30 / $86.30	Facility		$86.30	$86.30	$86.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $181.11 / $352.72	Professional		$106.46	$181.11	$352.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $217.07 / $364.66	Professional		$168.27	$217.07	$364.66
United Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $181.48 / $319.25	Professional		$130.09	$181.48	$319.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $193.51 / $238.49	Professional		$141.88	$193.51	$238.49