Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $1,138.72 / $1,932.90	Facility		$100.70	$1,138.72	$1,932.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $116.60 / $452.00	Professional		$93.81	$116.60	$452.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.24 / $130.91 / $182.62	Professional		$120.24	$130.91	$182.62
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 $99.12 / $140.03 / $266.00	Professional		$99.12	$140.03	$266.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $144.19 / $228.79	Professional		$108.42	$144.19	$228.79
United Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $126.48 / $228.76	Professional		$91.91	$126.48	$228.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.16 / $124.68 / $150.91	Professional		$102.16	$124.68	$150.91