Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $660.69 / $2,454.71	Facility		$46.77	$660.69	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $602.56 / $4,677.35	Professional		$263.03	$602.56	$4,677.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $489.78	Professional		$257.04	$288.40	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $851.14	Facility		$562.34	$602.56	$851.14
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $4,265.80	Professional		$275.42	$616.60	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $3,090.30 / $4,265.80	Professional		$707.95	$3,090.30	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $4,570.88	Professional		$263.03	$537.03	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $3,311.31 / $4,073.80	Professional		$309.03	$3,311.31	$4,073.80