Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $2,884.03	Facility		$1,862.09	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $309.03	Professional		$64.57	$131.83	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $89.13	Professional		$66.07	$72.44	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $645.65	Facility		$512.86	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $251.19	Professional		$69.18	$128.82	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $269.15	Professional		$147.91	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $128.82	Facility		$36.31	$40.74	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $239.88	Professional		$63.10	$125.89	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $223.87	Professional		$128.82	$181.97	$223.87