Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $871.26 / $1,996.03	Facility		$114.29	$871.26	$1,996.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $167.68 / $433.54	Professional		$81.18	$167.68	$433.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $89.33 / $125.06	Professional		$87.89	$89.33	$125.06
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 $82.94 / $164.68 / $317.60	Professional		$82.94	$164.68	$317.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $211.24 / $402.52	Professional		$142.91	$211.24	$402.52
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 $150.97 / $193.50 / $331.97	Professional		$150.97	$193.50	$331.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.08 / $205.45 / $254.67	Professional		$134.08	$205.45	$254.67