Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $284.37 / $25,851.42	Facility		$258.52	$284.37	$25,851.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.64 / $375.02	Professional		$258.63	$258.64	$375.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.51 / $258.51 / $258.64	Professional		$258.51	$258.51	$258.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $248.93 / $248.93	Facility		$248.93	$248.93	$248.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $305.00	Professional		$258.64	$258.64	$305.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $258.64 / $273.80	Professional		$219.84	$258.64	$273.80
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $287.92 / $308.66	Professional		$258.64	$287.92	$308.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $248.93 / $349.00	Professional		$248.93	$248.93	$349.00