Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $680.00 / $2,449.14	Facility		$189.02	$680.00	$2,449.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $510.34 / $1,767.80	Professional		$159.16	$510.34	$1,767.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.51 / $217.42 / $303.30	Professional		$199.51	$217.42	$303.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $746.88 / $746.88	Facility		$746.88	$746.88	$746.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.37 / $505.68 / $1,234.76	Professional		$164.37	$505.68	$1,234.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.99 / $656.12 / $1,349.57	Professional		$503.99	$656.12	$1,349.57
United Facility/Professional Professional Modifier Low / Median / High Price $543.58 / $781.54 / $1,318.17	Professional		$543.58	$781.54	$1,318.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $503.99 / $579.59 / $716.43	Professional		$503.99	$579.59	$716.43