Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,698.24 / $5,011.87	Facility		$524.81	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $416.87	Professional		$109.65	$204.17	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $181.97	Professional		$112.20	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $380.19	Facility		$134.90	$158.49	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $389.05	Professional		$112.20	$194.98	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $354.81	Professional		$165.96	$269.15	$354.81
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 $100.00 / $173.78 / $316.23	Professional		$100.00	$173.78	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $288.40 / $354.81	Professional		$141.25	$288.40	$354.81