Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,818.38 / $8,317.64	Facility		$131.83	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $346.74	Professional		$83.18	$141.25	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $158.49	Professional		$112.20	$128.82	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $302.00	Professional		$112.20	$162.18	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $208.93	Professional		$114.82	$131.83	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $177.83	Professional		$97.72	$147.91	$177.83