Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,137.96 / $4,897.79	Facility		$162.18	$2,137.96	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $346.74 / $1,174.90	Professional		$138.04	$346.74	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $204.17	Professional		$144.54	$162.18	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $676.08	Facility		$331.13	$338.84	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $691.83	Professional		$147.91	$338.84	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $707.95	Professional		$371.54	$446.68	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $467.74	Facility		$138.04	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $660.69	Professional		$134.90	$302.00	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $588.84	Professional		$363.08	$457.09	$588.84