Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $1,862.09	Facility		$125.89	$177.83	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $199.53 / $489.78	Professional		$77.62	$199.53	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $338.84	Professional		$77.62	$87.10	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $147.91 / $309.03	Professional		$72.44	$147.91	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $275.42	Professional		$138.04	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $245.47	Professional		$70.79	$131.83	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $251.19	Professional		$128.82	$208.93	$251.19