Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.58 / $1,430.26 / $4,775.41	Facility		$423.58	$1,430.26	$4,775.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.03 / $350.28 / $952.47	Professional		$159.03	$350.28	$952.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $164.95 / $199.59	Professional		$164.44	$164.95	$199.59
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 $155.27 / $302.73 / $629.70	Professional		$155.27	$302.73	$629.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.56 / $415.70 / $723.46	Professional		$312.56	$415.70	$723.46
United Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $342.19 / $604.79	Professional		$243.07	$342.19	$604.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $359.44 / $444.36	Professional		$204.79	$359.44	$444.36