Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $365.32 / $2,369.37	Facility		$132.72	$365.32	$2,369.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.12 / $303.88 / $667.92	Professional		$122.12	$303.88	$667.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $129.44 / $200.65	Professional		$129.44	$129.44	$200.65
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 Professional Modifier Low / Median / High Price $123.72 / $270.26 / $534.66	Professional		$123.72	$270.26	$534.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $359.05 / $567.29	Professional		$245.70	$359.05	$567.29
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 $252.62 / $341.88 / $575.67	Professional		$252.62	$341.88	$575.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $353.19 / $435.79	Professional		$234.80	$353.19	$435.79