Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.34 / $459.48 / $1,225.00	Facility		$139.34	$459.48	$1,225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $147.02 / $365.97	Professional		$113.09	$147.02	$365.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.43 / $167.53 / $190.00	Professional		$144.43	$167.53	$190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $110.26 / $111.15	Facility		$92.50	$110.26	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $157.84 / $352.00	Professional		$87.07	$157.84	$352.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $191.50 / $291.13	Professional		$147.97	$191.50	$291.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $157.41 / $285.01	Professional		$79.90	$157.41	$285.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $183.41 / $227.01	Professional		$131.43	$183.41	$227.01