Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.43 / $1,429.43 / $1,429.43	Facility		$1,429.43	$1,429.43	$1,429.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $75.56 / $98.54	Professional		$54.75	$75.56	$98.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $87.59 / $120.47	Professional		$78.83	$87.59	$120.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $71.95 / $141.68	Facility		$53.46	$71.95	$141.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $103.15 / $281.22	Professional		$53.46	$103.15	$281.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $136.86 / $164.24	Professional		$109.49	$136.86	$164.24
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $49.27 / $83.21	Professional		$45.99	$49.27	$83.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $54.75 / $87.04	Professional		$42.70	$54.75	$87.04