Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $496.52 / $1,272.92	Facility		$77.38	$496.52	$1,272.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.76 / $159.21 / $612.00	Professional		$112.76	$159.21	$612.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $154.71 / $196.48	Professional		$137.99	$154.71	$196.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $64.73 / $641.21	Facility		$50.00	$64.73	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $190.31 / $321.31	Professional		$121.95	$190.31	$321.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $208.52 / $307.30	Professional		$157.56	$208.52	$307.30
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 $124.73 / $178.25 / $334.24	Professional		$124.73	$178.25	$334.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $185.89 / $225.09	Professional		$127.80	$185.89	$225.09