Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2,089.30 / $5,495.41	Facility		$1.00	$2,089.30	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $407.38	Professional		$74.13	$151.36	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $177.83	Professional		$77.62	$85.11	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Facility		$380.19	$478.63	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $338.84	Professional		$81.28	$154.88	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $338.84	Professional		$134.90	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $275.42	Professional		$75.86	$144.54	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $323.59	Professional		$95.50	$257.04	$323.59