Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $580.54 / $2,058.05	Facility		$155.41	$580.54	$2,058.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $183.50 / $2,312.38	Professional		$176.45	$183.50	$2,312.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.79 / $180.79 / $460.73	Facility		$180.79	$180.79	$460.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $222.93	Professional		$176.45	$176.45	$222.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $176.45 / $1,373.47	Professional		$149.97	$176.45	$1,373.47
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $196.43 / $215.27	Professional		$176.45	$196.43	$215.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.79 / $180.79 / $231.15	Professional		$180.79	$180.79	$231.15