Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,725.61 / $3,725.61 / $3,725.61	Facility		$3,725.61	$3,725.61	$3,725.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $195.43 / $490.33	Professional		$133.03	$195.43	$490.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $170.26 / $197.63	Professional		$170.26	$170.26	$197.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $133.44 / $330.00	Facility		$133.44	$133.44	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.83 / $228.27 / $456.96	Professional		$148.83	$228.27	$456.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.35 / $293.27 / $391.06	Professional		$227.35	$293.27	$391.06
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 $164.97 / $235.67 / $436.19	Professional		$164.97	$235.67	$436.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.88 / $261.45 / $322.41	Professional		$177.88	$261.45	$322.41