Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $2.97 / $2,652.77	Facility		$2.97	$2.97	$2,652.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.09 / $366.23 / $968.04	Professional		$222.09	$366.23	$968.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $283.61 / $368.35	Professional		$283.61	$283.61	$368.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.29 / $226.29 / $507.00	Facility		$226.29	$226.29	$507.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $404.98 / $796.93	Professional		$245.44	$404.98	$796.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.89 / $499.09 / $669.63	Professional		$386.89	$499.09	$669.63
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $410.70 / $755.41	Professional		$291.42	$410.70	$755.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $444.92 / $551.79	Professional		$346.27	$444.92	$551.79