Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.48 / $1,928.81 / $8,273.87	Facility		$339.48	$1,928.81	$8,273.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $356.68 / $921.79	Professional		$305.23	$356.68	$921.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $334.93 / $440.99	Professional		$328.27	$334.93	$440.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $641.21 / $668.69	Facility		$445.00	$641.21	$668.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.55 / $474.85 / $861.32	Professional		$326.55	$474.85	$861.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.90 / $464.27 / $697.61	Professional		$359.90	$464.27	$697.61
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $379.60 / $649.63	Professional		$273.67	$379.60	$649.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.02 / $413.88 / $508.49	Professional		$340.02	$413.88	$508.49