Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.17 / $1,583.60 / $6,399.76	Facility		$124.17	$1,583.60	$6,399.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $238.42 / $647.91	Professional		$124.37	$238.42	$647.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $142.88 / $186.81	Professional		$142.88	$142.88	$186.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.63 / $149.63 / $330.00	Facility		$149.63	$149.63	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $259.17 / $511.59	Professional		$133.41	$259.17	$511.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.65 / $316.89 / $441.17	Professional		$245.65	$316.89	$441.17
United Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $126.08 / $246.64	Facility		$112.00	$126.08	$246.64
United Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $298.07 / $541.64	Professional		$197.30	$298.07	$541.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $282.50 / $349.70	Professional		$224.99	$282.50	$349.70