Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.02 / $81.02 / $81.02	Facility		$81.02	$81.02	$81.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.89 / $414.09 / $720.52	Professional		$328.89	$414.09	$720.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $337.21 / $383.82 / $476.41	Professional		$337.21	$383.82	$476.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $121.72 / $641.21	Facility		$50.00	$121.72	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.13 / $487.32 / $964.40	Professional		$341.13	$487.32	$964.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.50 / $592.76 / $774.91	Professional		$459.50	$592.76	$774.91
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.30 / $448.17 / $885.31	Professional		$290.30	$448.17	$885.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $324.80 / $528.42 / $649.14	Professional		$324.80	$528.42	$649.14