Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Facility		$142.76	$142.76	$142.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $175.80 / $266.37	Professional		$123.65	$175.80	$266.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $148.84 / $203.91	Professional		$134.00	$148.84	$203.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $437.00 / $1,652.00	Facility		$213.62	$437.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $206.97 / $398.92	Professional		$127.91	$206.97	$398.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $252.08 / $352.08	Professional		$182.10	$252.08	$352.08
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $217.93 / $401.64	Professional		$156.91	$217.93	$401.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $245.49 / $302.70	Professional		$161.63	$245.49	$302.70