Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $553.08 / $2,186.90	Facility		$101.61	$553.08	$2,186.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $256.89 / $692.58	Professional		$87.00	$256.89	$692.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $93.54 / $144.99	Professional		$93.54	$93.54	$144.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $746.53 / $1,254.76	Facility		$376.00	$746.53	$1,254.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $224.00 / $546.77	Professional		$89.97	$224.00	$546.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.68 / $364.75 / $645.09	Professional		$243.68	$364.75	$645.09
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 $259.42 / $357.01 / $634.10	Professional		$259.42	$357.01	$634.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.39 / $350.29 / $432.66	Professional		$245.39	$350.29	$432.66