Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.59 / $423.07 / $4,065.04	Facility		$212.59	$423.07	$4,065.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.46 / $284.75 / $791.61	Professional		$205.46	$284.75	$791.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $223.12 / $255.03	Professional		$198.09	$223.12	$255.03
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 $209.09 / $305.55 / $666.12	Professional		$209.09	$305.55	$666.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.95 / $343.08 / $592.42	Professional		$265.95	$343.08	$592.42
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 $229.37 / $324.48 / $518.23	Professional		$229.37	$324.48	$518.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.03 / $305.83 / $379.08	Professional		$216.03	$305.83	$379.08