Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $691.83 / $2,884.03	Facility		$165.96	$691.83	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $501.19 / $2,398.83	Professional		$154.88	$501.19	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $234.42	Professional		$173.78	$194.98	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $1,096.48	Professional		$177.83	$489.78	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,096.48	Professional		$436.52	$588.84	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $478.63 / $1,071.52	Professional		$154.88	$478.63	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $794.33	Professional		$501.19	$660.69	$794.33