Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $912.01 / $1,905.46	Facility		$177.83	$912.01	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $1,122.02	Professional		$165.96	$380.19	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $218.78	Professional		$162.18	$177.83	$218.78
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 $181.97 / $363.08 / $776.25	Professional		$181.97	$363.08	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $707.95	Professional		$331.13	$446.68	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $630.96	Professional		$158.49	$323.59	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $602.56	Professional		$263.03	$501.19	$602.56