Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.86 / $578.51 / $6,482.16	Facility		$266.86	$578.51	$6,482.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.82 / $291.95 / $1,005.00	Professional		$237.82	$291.95	$1,005.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $273.69 / $276.02 / $485.00	Professional		$273.69	$276.02	$485.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.07 / $1,698.07 / $1,698.07	Facility		$1,698.07	$1,698.07	$1,698.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $338.73 / $627.79	Professional		$241.24	$338.73	$627.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $341.13 / $540.66	Professional		$256.49	$341.13	$540.66
United Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $301.79 / $495.89	Professional		$219.48	$301.79	$495.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.70 / $294.95 / $365.12	Professional		$199.70	$294.95	$365.12