Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $268.82 / $2,501.12	Facility		$135.09	$268.82	$2,501.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.53 / $224.96 / $571.79	Professional		$137.53	$224.96	$571.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.41 / $183.17 / $209.37	Professional		$173.41	$183.17	$209.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $126.20 / $126.20	Facility		$126.20	$126.20	$126.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $236.50 / $470.13	Professional		$144.10	$236.50	$470.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $308.33 / $524.67	Professional		$239.02	$308.33	$524.67
United Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $266.05 / $469.21	Professional		$176.09	$266.05	$469.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.53 / $274.87 / $334.73	Professional		$143.53	$274.87	$334.73