Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.64 / $799.99 / $1,128.74	Facility		$664.64	$799.99	$1,128.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $172.65 / $360.35	Professional		$62.39	$172.65	$360.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $76.00 / $85.88	Professional		$55.91	$76.00	$85.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.51 / $170.51 / $170.51	Facility		$170.51	$170.51	$170.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $176.44 / $381.58	Professional		$66.87	$176.44	$381.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $242.99 / $344.49	Professional		$146.24	$242.99	$344.49
United Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $208.47 / $430.61	Professional		$132.30	$208.47	$430.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $165.21 / $292.49	Professional		$70.76	$165.21	$292.49