Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.56 / $186.56 / $6,653.71	Facility		$102.56	$186.56	$6,653.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $133.47 / $261.32	Professional		$82.05	$133.47	$261.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $101.40 / $115.90	Professional		$88.19	$101.40	$115.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,346.87 / $2,346.87 / $2,346.87	Facility		$2,346.87	$2,346.87	$2,346.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $146.81 / $314.08	Professional		$86.97	$146.81	$314.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $202.39 / $339.97	Professional		$156.88	$202.39	$339.97
United Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $132.57 / $239.79	Professional		$91.39	$132.57	$239.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.90 / $180.42 / $222.26	Professional		$94.90	$180.42	$222.26