Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.09 / $406.27 / $3,796.96	Facility		$193.09	$406.27	$3,796.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $305.45 / $910.25	Professional		$154.47	$305.45	$910.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $210.97 / $241.13	Professional		$200.67	$210.97	$241.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $215.91 / $215.91	Facility		$215.91	$215.91	$215.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $355.09 / $676.73	Professional		$181.46	$355.09	$676.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.45 / $462.40 / $817.04	Professional		$358.45	$462.40	$817.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $1,628.00 / $1,628.00	Facility		$1,628.00	$1,628.00	$1,628.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $406.13 / $651.53	Professional		$272.00	$406.13	$651.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.34 / $412.22 / $507.84	Professional		$330.34	$412.22	$507.84