Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $1,056.64 / $4,775.50	Facility		$160.00	$1,056.64	$4,775.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.88 / $496.80 / $1,233.38	Professional		$409.88	$496.80	$1,233.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $479.81 / $479.81 / $572.59	Professional		$479.81	$479.81	$572.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.40 / $609.78 / $1,173.55	Professional		$435.40	$609.78	$1,173.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $691.83 / $911.33	Professional		$536.29	$691.83	$911.33
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 $384.67 / $522.04 / $941.66	Professional		$384.67	$522.04	$941.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.29 / $616.74 / $757.64	Professional		$449.29	$616.74	$757.64