Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $1,412.54	Facility		$269.15	$426.58	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $489.78	Professional		$81.28	$173.78	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $245.47	Professional		$91.20	$100.00	$245.47
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 $85.11 / $173.78 / $354.81	Professional		$85.11	$173.78	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $398.11	Professional		$218.78	$263.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $123.03 / $177.83	Facility		$81.28	$123.03	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $323.59	Professional		$77.62	$162.18	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $323.59	Professional		$177.83	$269.15	$323.59