Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $707.95 / $1,584.89	Facility		$60.26	$707.95	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $295.12	Professional		$72.44	$114.82	$295.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $102.33	Professional		$75.86	$85.11	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $239.88	Professional		$75.86	$131.83	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $194.98	Professional		$97.72	$131.83	$194.98
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 $72.44 / $114.82 / $194.98	Professional		$72.44	$114.82	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $173.78	Professional		$89.13	$147.91	$173.78