Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $1,230.27 / $6,918.31	Facility		$40.74	$1,230.27	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $316.23 / $741.31	Professional		$134.90	$316.23	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $181.97	Professional		$128.82	$141.25	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $602.56	Professional		$138.04	$288.40	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $562.34	Professional		$257.04	$346.74	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $512.86	Professional		$123.03	$263.03	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $467.74	Professional		$234.42	$380.19	$467.74