Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $467.74	Professional		$107.15	$204.17	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $173.78	Professional		$109.65	$120.23	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $380.19	Facility		$123.03	$141.25	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $371.54	Professional		$107.15	$190.55	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $346.74	Professional		$154.88	$257.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $602.56	Facility		$75.86	$107.15	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $309.03	Professional		$97.72	$169.82	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $338.84	Professional		$141.25	$275.42	$338.84