Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $2,511.89	Facility		$229.09	$302.00	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $891.25	Professional		$173.78	$245.47	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $234.42	Professional		$173.78	$190.55	$234.42
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 / $269.15 / $549.54	Professional		$181.97	$269.15	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $426.58	Professional		$199.53	$269.15	$426.58
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 $151.36 / $229.09 / $398.11	Professional		$151.36	$229.09	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $354.81	Professional		$173.78	$302.00	$354.81