Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $2,754.23 / $4,570.88	Facility		$53.70	$2,754.23	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $1,122.02	Professional		$204.17	$309.03	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $363.08	Professional		$204.17	$229.09	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,318.26 / $1,513.56	Facility		$363.08	$1,318.26	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $446.68	Professional		$190.55	$257.04	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $331.13	Professional		$173.78	$229.09	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,511.89	Facility		$724.44	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $416.87	Professional		$169.82	$234.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $295.12	Professional		$165.96	$257.04	$295.12