Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $2,118.13 / $4,841.49	Facility		$307.80	$2,118.13	$4,841.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.01 / $285.69 / $1,089.00	Professional		$266.01	$285.69	$1,089.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $287.31 / $370.05	Professional		$285.47	$287.31	$370.05
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 $261.63 / $362.47 / $809.99	Professional		$261.63	$362.47	$809.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.85 / $357.57 / $572.13	Professional		$268.85	$357.57	$572.13
United Facility/Professional Professional Modifier Low / Median / High Price $230.50 / $344.20 / $639.55	Professional		$230.50	$344.20	$639.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $309.18 / $384.75	Professional		$211.20	$309.18	$384.75