Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.63 / $674.05 / $5,466.38	Facility		$203.63	$674.05	$5,466.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $469.17 / $1,057.04	Professional		$167.87	$469.17	$1,057.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.53 / $198.53 / $357.36	Professional		$198.53	$198.53	$357.36
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 $183.67 / $471.02 / $979.65	Professional		$183.67	$471.02	$979.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.03 / $676.39 / $1,006.28	Professional		$434.03	$676.39	$1,006.28
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 $429.80 / $591.12 / $1,022.63	Professional		$429.80	$591.12	$1,022.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $429.30 / $662.09 / $815.40	Professional		$429.30	$662.09	$815.40