Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.11 / $1,718.11 / $1,718.11	Facility		$1,718.11	$1,718.11	$1,718.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $117.26 / $161.44	Professional		$102.24	$117.26	$161.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $117.52 / $193.91	Professional		$109.97	$117.52	$193.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $514.04 / $891.79	Facility		$376.00	$514.04	$891.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $136.71 / $236.77	Professional		$101.54	$136.71	$236.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $128.93 / $193.70	Professional		$102.07	$128.93	$193.70
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $125.40 / $210.85	Professional		$91.98	$125.40	$210.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $123.56 / $153.91	Professional		$87.57	$123.56	$153.91