Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $420.08 / $3,525.00	Facility		$273.38	$420.08	$3,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $345.03 / $782.93	Professional		$218.78	$345.03	$782.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $242.65 / $338.49	Professional		$187.78	$242.65	$338.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $667.46 / $1,121.33	Facility		$388.44	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $356.65 / $664.57	Professional		$224.57	$356.65	$664.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $429.60 / $628.86	Professional		$318.22	$429.60	$628.86
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 $272.29 / $384.50 / $700.15	Professional		$272.29	$384.50	$700.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $426.94 / $525.11	Professional		$265.95	$426.94	$525.11