Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,202.26 / $3,090.30	Facility		$77.62	$1,202.26	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $467.74	Professional		$120.23	$208.93	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $177.83	Professional		$107.15	$147.91	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $426.58	Professional		$125.89	$199.53	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $302.00	Professional		$169.82	$223.87	$302.00
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 $112.20 / $165.96 / $295.12	Professional		$112.20	$165.96	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $309.03	Professional		$128.82	$251.19	$309.03