Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.34 / $3,144.86 / $4,810.97	Facility		$910.34	$3,144.86	$4,810.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $248.16 / $828.00	Professional		$192.15	$248.16	$828.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $216.48 / $325.00	Professional		$216.48	$216.48	$325.00
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 $191.94 / $268.31 / $618.54	Professional		$191.94	$268.31	$618.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $272.56 / $434.43	Professional		$204.93	$272.56	$434.43
United Facility/Professional Facility Modifier Low / Median / High Price $4,097.02 / $4,097.02 / $4,097.02	Facility		$4,097.02	$4,097.02	$4,097.02
United Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $240.11 / $425.13	Professional		$170.07	$240.11	$425.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $235.67 / $292.82	Professional		$156.99	$235.67	$292.82