Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,584.89 / $1,584.89	Facility		$316.23	$1,584.89	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $660.69	Professional		$107.15	$229.09	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $186.21	Professional		$104.71	$117.49	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $891.25	Facility		$380.19	$616.60	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $389.05	Professional		$109.65	$208.93	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $338.84	Professional		$158.49	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $346.74	Professional		$100.00	$186.21	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $331.13	Professional		$134.90	$257.04	$331.13