Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $616.60 / $1,778.28	Facility		$239.88	$616.60	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $524.81	Professional		$81.28	$190.55	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $114.82	Professional		$79.43	$89.13	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $141.25	Facility		$91.20	$91.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $354.81	Professional		$85.11	$181.97	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $288.40	Professional		$104.71	$208.93	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $169.82 / $316.23	Facility		$61.66	$169.82	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $346.74	Professional		$81.28	$181.97	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $295.12	Professional		$77.62	$204.17	$295.12