Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $288.40 / $4,786.30	Facility		$154.88	$288.40	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $575.44	Professional		$100.00	$165.96	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $141.25	Professional		$102.33	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $645.65	Facility		$50.12	$79.43	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $309.03	Professional		$109.65	$162.18	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $295.12	Professional		$165.96	$194.98	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $158.49	Facility		$102.33	$123.03	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $269.15	Professional		$97.72	$151.36	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $245.47	Professional		$144.54	$199.53	$245.47