Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $738.43 / $2,548.98	Facility		$147.77	$738.43	$2,548.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $248.32 / $751.52	Professional		$129.38	$248.32	$751.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $108.00 / $178.20	Professional		$97.20	$108.00	$178.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $667.46 / $1,121.33	Facility		$566.13	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $218.62 / $423.58	Professional		$124.68	$218.62	$423.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $250.02 / $402.66	Professional		$181.83	$250.02	$402.66
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 $169.73 / $228.28 / $434.29	Professional		$169.73	$228.28	$434.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $244.36 / $302.14	Professional		$153.22	$244.36	$302.14