Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2,772.38	Facility		$1.00	$1.00	$2,772.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $114.04 / $266.27	Professional		$46.19	$114.04	$266.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $56.07 / $89.15	Professional		$50.46	$56.07	$89.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $100.62 / $437.00	Facility		$85.35	$100.62	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $117.35 / $237.88	Professional		$48.65	$117.35	$237.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $157.69 / $234.86	Professional		$94.72	$157.69	$234.86
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $136.08 / $249.33	Professional		$95.28	$136.08	$249.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $154.97 / $190.85	Professional		$99.00	$154.97	$190.85