Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $780.05 / $2,799.00	Facility		$58.32	$780.05	$2,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $939.67 / $1,718.54	Professional		$198.66	$939.67	$1,718.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $218.40 / $355.99	Professional		$203.28	$218.40	$355.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,772.93 / $2,985.38	Facility		$629.00	$1,772.93	$2,985.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.74 / $872.85 / $2,437.38	Professional		$203.74	$872.85	$2,437.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.77 / $1,175.02 / $2,055.35	Professional		$748.77	$1,175.02	$2,055.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,028.00 / $1,347.00 / $3,219.00	Facility		$1,028.00	$1,347.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.68 / $1,720.68 / $2,790.67	Professional		$1,107.68	$1,720.68	$2,790.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $979.18 / $1,126.06 / $1,388.46	Professional		$979.18	$1,126.06	$1,388.46