Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $762.93 / $6,089.90	Facility		$0.99	$762.93	$6,089.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.80 / $547.90 / $1,354.68	Professional		$397.80	$547.90	$1,354.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $405.93 / $451.03 / $577.32	Professional		$405.93	$451.03	$577.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.15 / $646.17 / $1,271.30	Professional		$422.15	$646.17	$1,271.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.72 / $716.74 / $1,208.49	Professional		$503.72	$716.74	$1,208.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.14 / $579.24 / $1,065.29	Professional		$442.14	$579.24	$1,065.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.65 / $632.84 / $778.35	Professional		$337.65	$632.84	$778.35