Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.46 / $1,317.13 / $2,453.73	Facility		$231.46	$1,317.13	$2,453.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.48 / $254.06 / $919.00	Professional		$205.48	$254.06	$919.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $235.28 / $242.95 / $370.61	Professional		$235.28	$242.95	$370.61
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 $213.55 / $295.41 / $588.53	Professional		$213.55	$295.41	$588.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $349.72 / $564.17	Professional		$262.95	$349.72	$564.17
United Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $282.18 / $488.18	Professional		$196.74	$282.18	$488.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.95 / $302.39 / $367.76	Professional		$262.95	$302.39	$367.76