Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.66 / $838.67 / $3,533.91	Professional		$689.66	$838.67	$3,533.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $718.85 / $784.68 / $1,094.63	Professional		$718.85	$784.68	$1,094.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,076.35 / $3,076.35 / $3,076.35	Facility		$3,076.35	$3,076.35	$3,076.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.54 / $872.43 / $1,822.54	Professional		$592.54	$872.43	$1,822.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.76 / $927.20 / $1,597.15	Professional		$718.76	$927.20	$1,597.15
United Facility/Professional Professional Modifier Low / Median / High Price $561.22 / $799.30 / $1,722.28	Professional		$561.22	$799.30	$1,722.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.33 / $826.57 / $1,020.80	Professional		$511.33	$826.57	$1,020.80