Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $2,187.76	Facility		$275.42	$501.19	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $467.74	Professional		$123.03	$173.78	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $457.09	Professional		$134.90	$147.91	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $354.81	Professional		$128.82	$199.53	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $275.42	Professional		$147.91	$194.98	$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 $120.23 / $177.83 / $302.00	Professional		$120.23	$177.83	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $251.19	Professional		$154.88	$218.78	$251.19