Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $568.72 / $1,770.85	Facility		$126.19	$568.72	$1,770.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $236.37 / $662.16	Professional		$92.31	$236.37	$662.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $108.21 / $121.20	Professional		$108.21	$108.21	$121.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.97 / $507.00 / $641.21	Facility		$350.97	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $213.32 / $494.46	Professional		$98.86	$213.32	$494.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.79 / $340.50 / $521.54	Professional		$262.79	$340.50	$521.54
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 $186.83 / $294.48 / $515.07	Professional		$186.83	$294.48	$515.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $303.54 / $375.42	Professional		$242.00	$303.54	$375.42