Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.27 / $540.02 / $1,916.20	Facility		$206.27	$540.02	$1,916.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $184.82 / $476.93	Professional		$130.13	$184.82	$476.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $157.33 / $190.55	Professional		$122.71	$157.33	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $110.00 / $220.00	Facility		$72.00	$110.00	$220.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.86 / $242.63 / $449.67	Professional		$182.86	$242.63	$449.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $249.58 / $351.74	Professional		$206.35	$249.58	$351.74
United Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $216.17 / $330.44	Professional		$156.77	$216.17	$330.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $187.59 / $339.67	Professional		$153.97	$187.59	$339.67