Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,715.35	Facility		$2,187.76	$2,570.40	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $389.05	Professional		$102.33	$158.49	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $154.88	Professional		$93.33	$128.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $371.54	Professional		$109.65	$173.78	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $263.03	Professional		$147.91	$199.53	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $257.04	Professional		$95.50	$141.25	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $269.15	Professional		$112.20	$223.87	$269.15