Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $123.07 / $123.58	Facility		$114.75	$123.07	$123.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $256.23 / $1,130.41	Professional		$133.26	$256.23	$1,130.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $132.21 / $1,100.00	Professional		$131.58	$132.21	$1,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.10 / $151.10 / $151.10	Facility		$151.10	$151.10	$151.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $242.11 / $594.63	Professional		$129.94	$242.11	$594.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $312.18 / $515.05	Professional		$234.72	$312.18	$515.05
United Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $294.22 / $889.42	Professional		$188.86	$294.22	$889.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $269.93 / $333.23	Professional		$214.80	$269.93	$333.23