Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,415.97 / $1,415.97 / $2,174.40	Facility		$1,415.97	$1,415.97	$2,174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $76.25 / $178.43	Professional		$56.46	$76.25	$178.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $68.51 / $93.86	Professional		$53.34	$68.51	$93.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.23 / $48.03 / $629.00	Facility		$41.23	$48.03	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $88.78 / $173.34	Professional		$57.99	$88.78	$173.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $91.63 / $133.93	Professional		$69.67	$91.63	$133.93
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 $66.00 / $90.81 / $148.71	Professional		$66.00	$90.81	$148.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $89.60 / $110.52	Professional		$67.34	$89.60	$110.52