Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $2,176.39 / $3,755.24	Facility		$197.24	$2,176.39	$3,755.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $144.81 / $388.09	Professional		$99.12	$144.81	$388.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $121.44 / $138.81	Professional		$94.00	$121.44	$138.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.71 / $118.71 / $118.71	Facility		$118.71	$118.71	$118.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $172.21 / $378.41	Professional		$109.42	$172.21	$378.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $223.34 / $371.81	Professional		$173.13	$223.34	$371.81
United Facility/Professional Facility Modifier Low / Median / High Price $6,359.06 / $6,359.06 / $6,359.06	Facility		$6,359.06	$6,359.06	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $109.55 / $164.43 / $268.20	Professional		$109.55	$164.43	$268.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $199.10 / $245.30	Professional		$111.32	$199.10	$245.30