Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.08 / $567.57 / $2,424.66	Facility		$130.08	$567.57	$2,424.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.14 / $414.75 / $818.06	Professional		$116.14	$414.75	$818.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.03 / $126.03 / $196.61	Professional		$126.03	$126.03	$196.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $667.46 / $1,121.33	Facility		$376.00	$667.46	$1,121.33
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $268.38 / $937.39	Professional		$120.62	$268.38	$937.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.54 / $582.92 / $972.33	Professional		$296.54	$582.92	$972.33
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 $152.51 / $520.28 / $1,048.30	Professional		$152.51	$520.28	$1,048.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $442.35 / $568.36 / $700.59	Professional		$442.35	$568.36	$700.59