Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $1,430.77 / $2,931.38	Facility		$174.12	$1,430.77	$2,931.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $200.31 / $769.00	Professional		$168.19	$200.31	$769.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $219.09 / $295.97	Professional		$212.17	$219.09	$295.97
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 $176.52 / $253.07 / $526.46	Professional		$176.52	$253.07	$526.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.43 / $282.52 / $456.11	Professional		$212.43	$282.52	$456.11
United Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $245.85 / $428.47	Professional		$163.99	$245.85	$428.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $244.29 / $301.11	Professional		$179.65	$244.29	$301.11