Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $741.31 / $2,951.21	Facility		$54.95	$741.31	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $912.01	Professional		$194.98	$309.03	$912.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $338.84	Professional		$239.88	$281.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $741.31	Professional		$223.87	$371.54	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $588.84	Professional		$204.17	$331.13	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $537.03	Professional		$275.42	$478.63	$537.03