Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $660.69	Facility		$338.84	$501.19	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $630.96	Professional		$114.82	$251.19	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $141.25	Professional		$112.20	$123.03	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $467.74	Professional		$125.89	$245.47	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $389.05	Professional		$218.78	$281.84	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $218.78 / $426.58	Facility		$91.20	$218.78	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $436.52	Professional		$114.82	$229.09	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $275.42 / $398.11	Professional		$109.65	$275.42	$398.11