Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.15 / $1,974.15 / $1,974.15	Facility		$1,974.15	$1,974.15	$1,974.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $135.50 / $269.64	Professional		$77.15	$135.50	$269.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $94.87 / $106.25	Professional		$86.32	$94.87	$106.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.23 / $507.00 / $641.21	Facility		$451.23	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $142.79 / $282.27	Professional		$80.92	$142.79	$282.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $175.47 / $290.82	Professional		$135.86	$175.47	$290.82
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $158.00 / $424.00	Facility		$123.00	$158.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $175.92 / $307.26	Professional		$121.61	$175.92	$307.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.02 / $156.41 / $194.08	Professional		$136.02	$156.41	$194.08