Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.67 / $190.54 / $2,852.76	Facility		$93.67	$190.54	$2,852.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $136.28 / $479.00	Professional		$93.67	$136.28	$479.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.94 / $126.13 / $144.16	Professional		$99.94	$126.13	$144.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $109.15 / $109.15	Facility		$109.15	$109.15	$109.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $158.43 / $354.69	Professional		$101.42	$158.43	$354.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.31 / $205.51 / $342.62	Professional		$159.31	$205.51	$342.62
United Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $140.40 / $262.93	Professional		$92.36	$140.40	$262.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $183.21 / $225.62	Professional		$99.67	$183.21	$225.62