Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.03 / $515.48 / $1,717.08	Facility		$235.03	$515.48	$1,717.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.46 / $418.39 / $1,188.64	Professional		$203.46	$418.39	$1,188.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.24 / $221.66 / $418.94	Professional		$217.24	$221.66	$418.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $909.33 / $1,530.89	Facility		$508.00	$909.33	$1,530.89
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $457.04 / $1,135.24	Professional		$204.26	$457.04	$1,135.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.78 / $738.66 / $1,206.58	Professional		$425.78	$738.66	$1,206.58
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $525.00 / $1,330.00	Facility		$418.00	$525.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.05 / $641.82 / $1,240.56	Professional		$258.05	$641.82	$1,240.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $532.48 / $723.74 / $893.16	Professional		$532.48	$723.74	$893.16