Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.84 / $395.58 / $4,591.50	Facility		$348.84	$395.58	$4,591.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $149.32 / $582.86	Professional		$85.18	$149.32	$582.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $125.98 / $152.44	Professional		$111.83	$125.98	$152.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $82.21 / $82.21	Facility		$82.21	$82.21	$82.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $170.74 / $328.93	Professional		$99.45	$170.74	$328.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $202.98 / $342.37	Professional		$157.35	$202.98	$342.37
United Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $181.03 / $301.70	Professional		$123.10	$181.03	$301.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.09 / $180.95 / $223.33	Professional		$134.09	$180.95	$223.33