Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.70 / $546.70 / $1,718.09	Facility		$546.70	$546.70	$1,718.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $195.56 / $639.58	Professional		$113.81	$195.56	$639.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $143.85 / $169.15	Professional		$100.98	$143.85	$169.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.96 / $129.96 / $129.96	Facility		$129.96	$129.96	$129.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $210.39 / $403.31	Professional		$127.38	$210.39	$403.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $247.24 / $439.21	Professional		$187.76	$247.24	$439.21
United Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $224.20 / $405.52	Professional		$158.13	$224.20	$405.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $220.41 / $271.86	Professional		$159.72	$220.41	$271.86