Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $812.83 / $1,819.70	Facility		$104.71	$812.83	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $407.38	Professional		$83.18	$102.33	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $123.03	Professional		$89.13	$100.00	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $245.47	Professional		$95.50	$134.90	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $169.82	Professional		$93.33	$107.15	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $194.98	Professional		$81.28	$117.49	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $141.25	Professional		$91.20	$117.49	$141.25