Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $727.10 / $2,658.56	Facility		$336.88	$727.10	$2,658.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $91.62 / $215.09	Professional		$42.10	$91.62	$215.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $49.35 / $63.17	Professional		$47.35	$49.35	$63.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $53.45 / $641.21	Facility		$50.00	$53.45	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $98.28 / $215.90	Professional		$46.09	$98.28	$215.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $122.49 / $204.04	Professional		$94.63	$122.49	$204.04
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $154.19 / $235.34	Professional		$88.22	$154.19	$235.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $109.19 / $135.18	Professional		$94.95	$109.19	$135.18