Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.54 / $866.39 / $1,049.19	Facility		$554.54	$866.39	$1,049.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $71.70 / $183.84	Professional		$64.54	$71.70	$183.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $88.83 / $123.92	Professional		$86.30	$88.83	$123.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $35.14 / $35.14	Facility		$35.14	$35.14	$35.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $94.79 / $182.73	Professional		$68.09	$94.79	$182.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $98.93 / $162.18	Professional		$74.38	$98.93	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $84.38 / $142.19	Professional		$62.93	$84.38	$142.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $85.54 / $104.49	Professional		$69.81	$85.54	$104.49