Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.46 / $202.83 / $4,443.22	Facility		$94.46	$202.83	$4,443.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $164.46 / $432.81	Professional		$103.91	$164.46	$432.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.37 / $123.26 / $139.11	Professional		$119.37	$123.26	$139.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $350.97	Facility		$330.00	$339.05	$350.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $179.03 / $349.85	Professional		$105.64	$179.03	$349.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $222.63 / $294.39	Professional		$172.58	$222.63	$294.39
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $199.21 / $368.06	Professional		$132.63	$199.21	$368.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $198.47 / $246.62	Professional		$158.29	$198.47	$246.62