Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,515.19 / $2,515.19 / $2,515.19	Facility		$2,515.19	$2,515.19	$2,515.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.61 / $111.41 / $165.11	Professional		$84.61	$111.41	$165.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $103.80 / $142.21	Professional		$70.64	$103.80	$142.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $57.99 / $133.36	Facility		$50.00	$57.99	$133.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $129.05 / $268.55	Professional		$81.16	$129.05	$268.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $121.25 / $207.61	Professional		$91.58	$121.25	$207.61
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $108.00 / $598.00	Facility		$71.00	$108.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $136.33 / $252.59	Professional		$95.35	$136.33	$252.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $118.84 / $146.84	Professional		$103.34	$118.84	$146.84