Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.52 / $468.52 / $4,063.57	Facility		$316.52	$468.52	$4,063.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $324.38 / $696.72	Professional		$237.56	$324.38	$696.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.30 / $256.60 / $325.88	Professional		$255.30	$256.60	$325.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $237.59 / $641.21	Facility		$50.00	$237.59	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.23 / $406.28 / $796.49	Professional		$265.23	$406.28	$796.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $388.75 / $506.17 / $739.10	Professional		$388.75	$506.17	$739.10
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 $263.89 / $402.61 / $716.30	Professional		$263.89	$402.61	$716.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.30 / $451.24 / $555.36	Professional		$319.30	$451.24	$555.36