Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $324.68 / $2,397.16	Facility		$0.99	$324.68	$2,397.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.08 / $286.30 / $870.14	Professional		$186.08	$286.30	$870.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $208.54 / $331.58	Professional		$187.68	$208.54	$331.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.85 / $202.70 / $437.00	Facility		$178.85	$202.70	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.16 / $294.82 / $541.42	Professional		$189.16	$294.82	$541.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $347.52 / $509.91	Professional		$236.58	$347.52	$509.91
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 $209.87 / $297.83 / $518.73	Professional		$209.87	$297.83	$518.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.21 / $343.67 / $423.72	Professional		$215.21	$343.67	$423.72