Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,071.52 / $3,019.95	Facility		$251.19	$1,071.52	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $389.05	Professional		$81.28	$169.82	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $138.04	Professional		$77.62	$87.10	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $676.08 / $954.99	Facility		$380.19	$676.08	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $316.23	Professional		$83.18	$154.88	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $269.15	Professional		$112.20	$194.98	$269.15
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 $77.62 / $151.36 / $281.84	Professional		$77.62	$151.36	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $263.03	Professional		$93.33	$208.93	$263.03