Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,479.11 / $2,454.71	Facility		$1.00	$1,479.11	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $1,096.48	Professional		$162.18	$309.03	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $257.04	Professional		$173.78	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $645.65	Professional		$194.98	$309.03	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $524.81	Professional		$257.04	$338.84	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $489.78	Professional		$173.78	$281.84	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $457.09	Professional		$229.09	$380.19	$457.09