Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.28 / $213.70 / $4,447.05	Facility		$173.28	$213.70	$4,447.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $180.23 / $464.39	Professional		$159.18	$180.23	$464.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $200.19 / $263.77	Professional		$196.41	$200.19	$263.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $339.05	Facility		$330.00	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $240.14 / $458.58	Professional		$162.97	$240.14	$458.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.21 / $235.05 / $329.67	Professional		$182.21	$235.05	$329.67
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 $145.34 / $212.09 / $374.14	Professional		$145.34	$212.09	$374.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.25 / $209.54 / $261.54	Professional		$178.25	$209.54	$261.54