Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.85 / $1,100.07 / $13,764.34	Facility		$322.85	$1,100.07	$13,764.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $216.55 / $531.00	Professional		$86.88	$216.55	$531.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $114.97 / $133.65	Professional		$90.52	$114.97	$133.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $198.84 / $408.18	Professional		$83.54	$198.84	$408.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $277.67 / $495.80	Professional		$161.44	$277.67	$495.80
United Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $263.29 / $429.41	Professional		$193.13	$263.29	$429.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.62 / $193.62 / $305.82	Professional		$193.62	$193.62	$305.82