Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.50 / $1,282.50 / $1,595.90	Facility		$1,282.50	$1,282.50	$1,595.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $134.07 / $331.30	Professional		$58.89	$134.07	$331.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.74 / $64.92 / $74.19	Professional		$54.74	$64.92	$74.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Facility		$97.21	$97.21	$97.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $121.67 / $269.44	Professional		$61.74	$121.67	$269.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $169.84 / $301.79	Professional		$131.66	$169.84	$301.79
United Facility/Professional Professional Modifier Low / Median / High Price $111.97 / $155.94 / $315.08	Professional		$111.97	$155.94	$315.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $151.41 / $186.95	Professional		$115.06	$151.41	$186.95