Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,862.09 / $4,897.79	Facility		$354.81	$1,862.09	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $389.05 / $1,380.38	Professional		$173.78	$389.05	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $426.58	Professional		$173.78	$194.98	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $1,479.11	Facility		$446.68	$457.09	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $831.76	Professional		$213.80	$457.09	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $676.08	Professional		$316.23	$363.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $741.31	Facility		$371.54	$524.81	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $933.25	Professional		$323.59	$524.81	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $467.74	Professional		$181.97	$371.54	$467.74