Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.74 / $535.42 / $2,168.11	Facility		$436.74	$535.42	$2,168.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $157.54 / $415.50	Professional		$119.80	$157.54	$415.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $162.88 / $208.49	Professional		$153.62	$162.88	$208.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $206.18 / $375.37	Professional		$127.56	$206.18	$375.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $222.28 / $354.26	Professional		$167.13	$222.28	$354.26
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $188.29 / $320.42	Professional		$139.72	$188.29	$320.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $192.20 / $233.34	Professional		$155.04	$192.20	$233.34