Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $268.25 / $3,305.79	Facility		$126.06	$268.25	$3,305.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $221.80 / $673.56	Professional		$106.82	$221.80	$673.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $122.17 / $189.36	Professional		$116.82	$122.17	$189.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $693.21 / $1,164.58	Facility		$376.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $211.90 / $396.84	Professional		$111.42	$211.90	$396.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $259.47 / $393.08	Professional		$176.70	$259.47	$393.08
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $471.00 / $1,330.00	Facility		$418.00	$471.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $236.38 / $418.23	Professional		$172.36	$236.38	$418.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $254.01 / $312.98	Professional		$162.93	$254.01	$312.98