Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $426.58 / $1,621.81	Facility		$151.36	$426.58	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $407.38 / $954.99	Professional		$147.91	$407.38	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $190.55	Professional		$134.90	$151.36	$190.55
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 $144.54 / $371.54 / $758.58	Professional		$144.54	$371.54	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $724.44	Professional		$323.59	$436.52	$724.44
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 $131.83 / $331.13 / $741.31	Professional		$131.83	$331.13	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $588.84	Professional		$363.08	$489.78	$588.84