Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $176.12 / $1,860.00	Facility		$125.76	$176.12	$1,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $150.91 / $545.00	Professional		$66.79	$150.91	$545.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $93.28 / $119.40	Professional		$83.96	$93.28	$119.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.42 / $106.42 / $106.42	Facility		$106.42	$106.42	$106.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $150.22 / $296.81	Professional		$73.26	$150.22	$296.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.85 / $202.34 / $360.65	Professional		$156.85	$202.34	$360.65
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $166.31 / $290.75	Professional		$118.66	$166.31	$290.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $180.38 / $222.17	Professional		$130.08	$180.38	$222.17