Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $149.19 / $149.19	Facility		$76.34	$149.19	$149.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $160.96 / $1,019.17	Professional		$147.65	$160.96	$1,019.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $222.17 / $520.00	Professional		$199.96	$222.17	$520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.80 / $679.80 / $679.80	Facility		$679.80	$679.80	$679.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.27 / $243.48 / $576.45	Professional		$138.27	$243.48	$576.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.76 / $230.60 / $373.03	Professional		$178.76	$230.60	$373.03
United Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $247.04 / $487.60	Professional		$155.00	$247.04	$487.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.01 / $193.94 / $254.92	Professional		$143.01	$193.94	$254.92