Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $0.98 / $1,629.10	Facility		$0.98	$0.98	$1,629.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $158.31 / $420.30	Professional		$131.88	$158.31	$420.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.78 / $159.83 / $182.55	Professional		$154.78	$159.83	$182.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $210.11 / $427.40	Professional		$145.68	$210.11	$427.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $251.62 / $407.87	Professional		$189.19	$251.62	$407.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.86 / $197.20 / $356.20	Professional		$134.86	$197.20	$356.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $217.57 / $268.64	Professional		$146.80	$217.57	$268.64