Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $870.96 / $2,570.40	Facility		$83.18	$870.96	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $162.18 / $602.56	Professional		$63.10	$162.18	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $89.13	Professional		$61.66	$69.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $354.81	Facility		$331.13	$338.84	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $263.03	Professional		$69.18	$134.90	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $302.00	Professional		$165.96	$199.53	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $158.49	Facility		$57.54	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $245.47	Professional		$58.88	$125.89	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $251.19	Professional		$141.25	$204.17	$251.19