Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.13 / $288.10 / $2,242.31	Facility		$175.13	$288.10	$2,242.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $201.02 / $406.26	Professional		$130.51	$201.02	$406.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $172.12 / $180.73	Professional		$167.09	$172.12	$180.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.46 / $160.54 / $335.55	Facility		$136.46	$160.54	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $214.30 / $387.34	Professional		$133.83	$214.30	$387.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.71 / $276.86 / $391.02	Professional		$228.71	$276.86	$391.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.01 / $224.90 / $412.62	Professional		$172.01	$224.90	$412.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $178.30 / $276.86	Professional		$160.02	$178.30	$276.86