Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,258.93 / $3,235.94	Facility		$89.13	$1,258.93	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $288.40	Professional		$81.28	$144.54	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $107.15	Professional		$79.43	$89.13	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $257.04	Professional		$87.10	$141.25	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $275.42	Professional		$138.04	$154.88	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $234.42	Professional		$83.18	$131.83	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $208.93	Professional		$79.43	$158.49	$208.93