Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.29 / $419.95 / $2,155.39	Facility		$300.29	$419.95	$2,155.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.26 / $371.10 / $804.77	Professional		$268.26	$371.10	$804.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $287.05 / $330.76 / $363.84	Professional		$287.05	$330.76	$363.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $453.73 / $1,316.51	Facility		$445.00	$453.73	$1,316.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.98 / $445.46 / $894.17	Professional		$292.98	$445.46	$894.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.49 / $561.78 / $750.51	Professional		$435.49	$561.78	$750.51
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.69 / $454.98 / $807.40	Professional		$316.69	$454.98	$807.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $500.81 / $617.41	Professional		$362.50	$500.81	$617.41