Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.61 / $1,835.23 / $3,745.33	Facility		$221.61	$1,835.23	$3,745.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $727.66 / $1,375.16	Professional		$193.91	$727.66	$1,375.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.46 / $199.62 / $241.54	Professional		$187.46	$199.62	$241.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,129.57 / $2,129.57 / $2,129.57	Facility		$2,129.57	$2,129.57	$2,129.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.16 / $460.98 / $1,542.38	Professional		$182.16	$460.98	$1,542.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.47 / $986.37 / $1,807.94	Professional		$573.47	$986.37	$1,807.94
United Facility/Professional Professional Modifier Low / Median / High Price $706.16 / $930.47 / $1,713.65	Professional		$706.16	$930.47	$1,713.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $612.45 / $612.45 / $1,083.48	Professional		$612.45	$612.45	$1,083.48