Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $1,694.42 / $3,142.66	Facility		$121.65	$1,694.42	$3,142.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $200.36 / $458.28	Professional		$87.98	$200.36	$458.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.61 / $149.25	Professional		$106.00	$106.61	$149.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $211.71 / $421.92	Professional		$99.82	$211.71	$421.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.96 / $287.11 / $425.34	Professional		$195.96	$287.11	$425.34
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $235.52 / $445.69	Professional		$162.38	$235.52	$445.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $281.69 / $346.31	Professional		$162.38	$281.69	$346.31