Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $6,918.31	Facility		$1,584.89	$2,137.96	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $416.87	Professional		$70.79	$173.78	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $117.49	Professional		$67.61	$74.13	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Facility		$380.19	$478.63	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $338.84	Professional		$74.13	$190.55	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $389.05	Professional		$169.82	$281.84	$389.05
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 $69.18 / $158.49 / $323.59	Professional		$69.18	$158.49	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $302.00 / $371.54	Professional		$93.33	$302.00	$371.54