Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2,754.23 / $2,754.23	Facility		$1.00	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $120.23 / $269.15	Professional		$46.77	$120.23	$269.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $89.13	Professional		$50.12	$56.23	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $380.19	Facility		$85.11	$102.33	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $239.88	Professional		$46.77	$112.20	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $229.09	Professional		$89.13	$169.82	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $1,000.00	Facility		$213.80	$331.13	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $199.53	Professional		$41.69	$91.20	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $181.97 / $223.87	Professional		$58.88	$181.97	$223.87