Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $1,174.90	Facility		$75.86	$199.53	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $489.78	Professional		$75.86	$173.78	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $131.83	Professional		$74.13	$83.18	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	52	$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $323.59	Professional		$79.43	$151.36	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $275.42	Professional		$120.23	$186.21	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $194.98	Facility		$81.28	$81.28	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $316.23	Professional		$75.86	$151.36	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $263.03	Professional		$87.10	$218.78	$263.03