Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.55 / $177.71 / $232.61	Facility		$171.55	$177.71	$232.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $195.31 / $380.23	Professional		$141.88	$195.31	$380.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $230.62 / $236.98	Professional		$230.62	$230.62	$236.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $214.16	Professional		$156.34	$156.34	$214.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $346.66 / $499.19	Professional		$242.66	$346.66	$499.19
United Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $154.24 / $183.11	Facility		$109.87	$154.24	$183.11
United Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $172.94 / $275.67	Professional		$134.28	$172.94	$275.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $188.33 / $242.66	Professional		$96.00	$188.33	$242.66