Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.57 / $1,064.57 / $1,064.57	Facility		$1,064.57	$1,064.57	$1,064.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $83.98 / $357.12	Professional		$78.15	$83.98	$357.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $85.94 / $97.69	Professional		$66.00	$85.94	$97.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $113.67 / $245.40	Professional		$79.18	$113.67	$245.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.66 / $107.28 / $169.39	Professional		$80.66	$107.28	$169.39
United Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $101.45 / $188.51	Professional		$69.09	$101.45	$188.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $92.76 / $115.34	Professional		$63.40	$92.76	$115.34