Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $2,630.27	Facility		$602.56	$758.58	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $93.33 / $263.03	Professional		$41.69	$93.33	$263.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $57.54	Professional		$41.69	$46.77	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $645.65	Facility		$50.12	$53.70	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $208.93	Professional		$45.71	$97.72	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $177.83	Professional		$97.72	$117.49	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $95.50	Facility		$36.31	$40.74	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $199.53	Professional		$42.66	$89.13	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $147.91	Professional		$95.50	$117.49	$147.91