Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $689.06 / $2,739.95	Facility		$153.38	$689.06	$2,739.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.55 / $583.29 / $1,576.67	Professional		$499.55	$583.29	$1,576.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $490.00 / $553.42 / $608.77	Professional		$490.00	$553.42	$608.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $791.44	Facility		$507.00	$518.54	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.90 / $712.58 / $1,363.10	Professional		$503.90	$712.58	$1,363.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.71 / $756.86 / $996.72	Professional		$586.71	$756.86	$996.72
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 $457.36 / $609.48 / $1,128.06	Professional		$457.36	$609.48	$1,128.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.25 / $674.72 / $828.75	Professional		$562.25	$674.72	$828.75