Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $1,508.11 / $7,448.84	Facility		$52.92	$1,508.11	$7,448.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.12 / $463.16 / $1,689.00	Professional		$411.12	$463.16	$1,689.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.90 / $434.92 / $606.72	Professional		$417.90	$434.92	$606.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.12 / $610.53 / $1,180.40	Professional		$430.12	$610.53	$1,180.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.94 / $604.92 / $997.96	Professional		$468.94	$604.92	$997.96
United Facility/Professional Professional Modifier Low / Median / High Price $398.28 / $530.83 / $949.90	Professional		$398.28	$530.83	$949.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $443.64 / $539.28 / $659.06	Professional		$443.64	$539.28	$659.06