Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $1,809.91 / $8,358.51	Facility		$53.56	$1,809.91	$8,358.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $144.69 / $346.81	Professional		$114.38	$144.69	$346.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $129.69 / $148.25	Professional		$111.35	$129.69	$148.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.45 / $1,470.45 / $1,470.45	Facility		$1,470.45	$1,470.45	$1,470.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $163.06 / $302.38	Professional		$111.82	$163.06	$302.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $165.01 / $267.02	Professional		$124.07	$165.01	$267.02
United Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $140.80 / $237.27	Professional		$101.02	$140.80	$237.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $142.68 / $176.34	Professional		$97.65	$142.68	$176.34