Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $2,307.41 / $4,450.62	Facility		$394.91	$2,307.41	$4,450.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.51 / $431.21 / $1,061.01	Professional		$353.51	$431.21	$1,061.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.20 / $420.95 / $467.72	Professional		$409.20	$420.95	$467.72
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 $362.75 / $504.43 / $975.26	Professional		$362.75	$504.43	$975.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.02 / $599.86 / $960.45	Professional		$451.02	$599.86	$960.45
United Facility/Professional Professional Modifier Low / Median / High Price $340.11 / $479.58 / $836.57	Professional		$340.11	$479.58	$836.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.02 / $518.66 / $629.76	Professional		$451.02	$518.66	$629.76