Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.27 / $3,072.94 / $6,870.27	Facility		$1,567.27	$3,072.94	$6,870.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $176.02 / $388.49	Professional		$71.00	$176.02	$388.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.23 / $73.23 / $138.40	Professional		$73.23	$73.23	$138.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $530.82 / $891.79	Facility		$376.00	$530.82	$891.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $192.52 / $383.37	Professional		$75.36	$192.52	$383.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $256.42 / $417.99	Professional		$174.83	$256.42	$417.99
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $471.00 / $1,330.00	Facility		$418.00	$471.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.03 / $228.27 / $409.16	Professional		$168.03	$228.27	$409.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $247.09 / $304.52	Professional		$154.43	$247.09	$304.52