Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,096.48 / $2,754.23	Facility		$251.19	$1,096.48	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $549.54 / $1,380.38	Professional		$229.09	$549.54	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $389.05	Professional		$218.78	$245.47	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $630.96 / $851.14	Facility		$562.34	$630.96	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $645.65 / $1,380.38	Professional		$229.09	$645.65	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $1,412.54	Professional		$524.81	$1,047.13	$1,412.54
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 $223.87 / $602.56 / $1,258.93	Professional		$223.87	$602.56	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,096.48 / $1,380.38	Professional		$275.42	$1,096.48	$1,380.38