Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $1,395.34 / $1,911.29	Facility		$122.00	$1,395.34	$1,911.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $180.56 / $578.00	Professional		$122.00	$180.56	$578.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $152.27 / $174.04	Professional		$134.16	$152.27	$174.04
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 $128.55 / $181.46 / $342.00	Professional		$128.55	$181.46	$342.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $187.01 / $296.56	Professional		$140.61	$187.01	$296.56
United Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $162.02 / $273.33	Professional		$120.98	$162.02	$273.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $161.69 / $195.93	Professional		$133.22	$161.69	$195.93