Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $610.80 / $1,774.81	Facility		$78.77	$610.80	$1,774.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $200.85 / $504.45	Professional		$80.81	$200.85	$504.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.41 / $86.41 / $115.69	Professional		$86.41	$86.41	$115.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.60 / $90.60 / $90.60	Facility		$90.60	$90.60	$90.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $176.53 / $361.99	Professional		$85.43	$176.53	$361.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.20 / $228.65 / $308.58	Professional		$118.20	$228.65	$308.58
United Facility/Professional Professional Modifier Low / Median / High Price $170.93 / $240.08 / $400.31	Professional		$170.93	$240.08	$400.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $190.09 / $266.77	Professional		$88.39	$190.09	$266.77