Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,819.70 / $7,413.10	Facility		$52.48	$1,819.70	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,513.56	Professional		$407.38	$660.69	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $588.84	Professional		$426.58	$478.63	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $1,174.90	Professional		$426.58	$588.84	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $912.01	Professional		$457.09	$524.81	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $912.01	Professional		$389.05	$549.54	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $691.83	Professional		$446.68	$575.44	$691.83