Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $264.16 / $4,780.25	Facility		$66.51	$264.16	$4,780.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $139.19 / $383.56	Professional		$98.12	$139.19	$383.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $114.82 / $145.82	Professional		$114.03	$114.82	$145.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $79.09 / $641.21	Facility		$50.00	$79.09	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $166.78 / $311.99	Professional		$110.01	$166.78	$311.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $208.03 / $299.39	Professional		$158.97	$208.03	$299.39
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.88 / $164.64 / $282.64	Professional		$114.88	$164.64	$282.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $185.45 / $227.10	Professional		$144.41	$185.45	$227.10