Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.74 / $831.70 / $3,021.28	Facility		$156.74	$831.70	$3,021.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $299.26 / $714.63	Professional		$134.12	$299.26	$714.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $145.76 / $220.10	Professional		$138.86	$145.76	$220.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,474.16 / $1,875.56	Facility		$376.00	$1,474.16	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $282.95 / $553.23	Professional		$136.59	$282.95	$553.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $377.96 / $560.27	Professional		$258.70	$377.96	$560.27
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $314.72 / $560.66	Professional		$219.42	$314.72	$560.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.92 / $371.90 / $457.34	Professional		$214.92	$371.90	$457.34