Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,412.54	Facility		$602.56	$933.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $588.84	Professional		$95.50	$138.04	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $102.33 / $151.36	Professional		$33.88	$102.33	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $194.98	Facility		$117.49	$117.49	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $281.84	Professional		$104.71	$144.54	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $229.09	Professional		$120.23	$162.18	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $57.54 / $147.91	Facility		$29.51	$57.54	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $263.03	Professional		$93.33	$141.25	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $190.55	Professional		$75.86	$162.18	$190.55