Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.41 / $1,101.26 / $2,665.54	Facility		$103.41	$1,101.26	$2,665.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $169.50 / $445.35	Professional		$72.84	$169.50	$445.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $76.43 / $108.81	Professional		$76.43	$76.43	$108.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $668.69	Facility		$330.00	$339.05	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $188.23 / $425.19	Professional		$79.48	$188.23	$425.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.21 / $303.42 / $440.60	Professional		$235.21	$303.42	$440.60
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.04 / $240.19 / $451.13	Professional		$162.04	$240.19	$451.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $270.49 / $334.56	Professional		$170.72	$270.49	$334.56