Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $1,337.12 / $2,761.95	Facility		$155.85	$1,337.12	$2,761.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.23 / $334.14 / $733.07	Professional		$109.23	$334.14	$733.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $138.08 / $151.88	Professional		$108.42	$138.08	$151.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $668.69	Facility		$445.00	$453.73	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $318.48 / $902.85	Professional		$118.97	$318.48	$902.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.64 / $494.88 / $728.33	Professional		$381.64	$494.88	$728.33
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.02 / $667.13 / $1,077.82	Professional		$350.02	$667.13	$1,077.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.63 / $441.17 / $545.21	Professional		$383.63	$441.17	$545.21