Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.36 / $1,519.14 / $4,151.08	Facility		$184.36	$1,519.14	$4,151.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $179.76 / $466.45	Professional		$151.52	$179.76	$466.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $175.46 / $385.00	Professional		$172.55	$175.46	$385.00
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 Professional Modifier Low / Median / High Price $151.88 / $209.97 / $415.00	Professional		$151.88	$209.97	$415.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $194.20 / $296.99	Professional		$153.10	$194.20	$296.99
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 $139.99 / $185.76 / $318.05	Professional		$139.99	$185.76	$318.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $185.33 / $230.46	Professional		$129.13	$185.33	$230.46