Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,148.15 / $3,801.89	Facility		$194.98	$1,148.15	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $977.24	Professional		$186.21	$363.08	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $239.88	Professional		$177.83	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $691.83	Professional		$181.97	$354.81	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $676.08	Professional		$316.23	$426.58	$676.08
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 $173.78 / $323.59 / $588.84	Professional		$173.78	$323.59	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $575.44	Professional		$331.13	$478.63	$575.44