Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $270.06 / $5,590.47	Facility		$50.68	$270.06	$5,590.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $187.27 / $574.09	Professional		$135.71	$187.27	$574.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $159.49 / $240.15	Professional		$153.51	$159.49	$240.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,134.73	Facility		$445.00	$453.73	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $231.97 / $364.64	Professional		$132.72	$231.97	$364.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $185.40 / $301.76	Professional		$143.72	$185.40	$301.76
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $202.86 / $342.75	Professional		$127.47	$202.86	$342.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $165.28 / $205.94	Professional		$143.72	$165.28	$205.94