Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.24 / $745.24 / $1,115.42	Facility		$745.24	$745.24	$1,115.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $220.58 / $381.27	Professional		$100.31	$220.58	$381.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.91 / $134.94 / $141.83	Professional		$113.91	$134.94	$141.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $158.93 / $335.55	Facility		$135.09	$158.93	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $234.64 / $449.64	Professional		$105.20	$234.64	$449.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $327.92 / $428.91	Professional		$271.64	$327.92	$428.91
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.86 / $255.40 / $442.60	Professional		$108.86	$255.40	$442.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $213.22 / $328.83	Professional		$125.79	$213.22	$328.83