Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $1,305.56 / $1,854.17	Facility		$56.58	$1,305.56	$1,854.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.57 / $244.40 / $586.76	Professional		$142.57	$244.40	$586.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $160.47 / $219.86	Professional		$158.78	$160.47	$219.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.19 / $200.62 / $437.00	Facility		$172.19	$200.62	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.04 / $258.57 / $475.90	Professional		$148.04	$258.57	$475.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $312.82 / $467.37	Professional		$217.24	$312.82	$467.37
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $278.98 / $496.16	Professional		$207.26	$278.98	$496.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $307.85 / $379.70	Professional		$199.92	$307.85	$379.70