Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,784.29 / $2,784.29 / $2,784.29	Facility		$2,784.29	$2,784.29	$2,784.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $195.80 / $289.08	Professional		$117.61	$195.80	$289.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $113.57 / $155.59	Professional		$102.21	$113.57	$155.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $171.10 / $599.00	Facility		$150.97	$171.10	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $220.11 / $399.42	Professional		$124.68	$220.11	$399.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $265.97 / $395.28	Professional		$184.70	$265.97	$395.28
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 $174.14 / $235.21 / $426.02	Professional		$174.14	$235.21	$426.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.45 / $260.99 / $322.27	Professional		$173.45	$260.99	$322.27