Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.26 / $2,271.21 / $3,560.48	Facility		$296.26	$2,271.21	$3,560.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.75 / $297.60 / $1,183.00	Professional		$217.75	$297.60	$1,183.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.67 / $289.39 / $333.56	Professional		$275.67	$289.39	$333.56
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 $244.61 / $358.23 / $721.89	Professional		$244.61	$358.23	$721.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.99 / $418.94 / $686.06	Professional		$314.99	$418.94	$686.06
United Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $344.49 / $730.01	Professional		$237.07	$344.49	$730.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $362.24 / $446.61	Professional		$258.36	$362.24	$446.61