Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,445.44 / $1,862.09	Facility		$56.23	$1,445.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $870.96	Professional		$208.93	$316.23	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $257.04	Professional		$190.55	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $616.60	Professional		$213.80	$338.84	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $501.19	Professional		$251.19	$338.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $512.86	Professional		$204.17	$316.23	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $436.52	Professional		$257.04	$380.19	$436.52